Community Chiropractic & Physical Therapy LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011331 Issued in IL

Legal business name

COMMUNITY CHIROPRACTIC & PHYSICAL THERAPY LLC

Practice address

126 W Maple Ave
Mundelein, IL 60060-1737

Phone

(847) 949-6200

Fax

(847) 949-9183

NPI assigned

Mar 17, 2009

Last updated

Apr 24, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Barber, DC

Title

Owner

Phone

(718) 810-9153

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Phillip Ross, D.C.

  • Chiropractor
  • South Richmond Hill, NY
  • NPI 1659556223
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1659512994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601737",
            "telephone_number": "847-949-6200",
            "fax_number": "847-949-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAPLE AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601737",
            "telephone_number": "847-949-6200",
            "fax_number": "847-949-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-810-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Nortillo Clark, LSW, MSW
• Nolan William Clay
• Clinician Staffing LLC
• Collaborative Counseling Group of Illinois PLLC
• Anthony J Collins
• Community Physical Medicine and Rehabilitation, PC
• Odessa P Conorquie, DT
• Thomas Lincoln Conzelman, DC
• Cordial Medical Center, S.C.
• Farrah Lemoine Cox, APRN, FNP-BC

• Chiropractor in Mundelein, IL
• Providers in Mundelein, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.