Organization Active NPI

Lincolnwood Chiropractic Health Center

  • Chiropractor
  • Lincolnwood, IL
National Provider Identifier
1669623336
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LINCOLNWOOD CHIROPRACTIC HEALTH CENTER
Practice address
6919 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone
(847) 675-8305
Fax
(847) 675-8306
NPI assigned
Sep 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Evana Younan, D.C.NPI 1457664955
Title
President/Chiropractor
Phone
(847) 436-2596

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Preferred Provider Organization 305R00000X 038011168 IL

Addresses

Primary practice location

6919 N Lincoln Ave
Lincolnwood, IL 60712-2605

Mailing address

6919 N Lincoln Ave
Lincolnwood, IL 60712-2605
Phone (847) 675-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090508000357 IL Part B Supplier - Clinic/Group Practice 7416005079 Receives reassigned benefits from 1 practitioner
Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory

Locations

6837 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 436-2596

6919 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 675-8305

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1669623336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122605",
            "telephone_number": "847-675-8305",
            "fax_number": "847-675-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6919 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122605",
            "telephone_number": "847-675-8305",
            "fax_number": "847-675-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNWOOD CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-30",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "YOUNAN",
        "authorized_official_first_name": "EVANA",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "847-436-2596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038011168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.