Organization Active NPI

Planet Chiro SC

  • Chiropractor
  • West Dundee, IL
National Provider Identifier
1669743290
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011743 Issued in IL
Legal business name
PLANET CHIRO SC
Practice address
758 S 8TH St
West Dundee, IL 60118-2102
Phone
(847) 836-5202
Fax
(847) 836-5209
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Dr. Elizabeth Wiese, DC
Title
Secretary
Phone
(847) 836-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038011743 IL Primary

Addresses

Primary practice location

758 S 8TH St
West Dundee, IL 60118-2102

Mailing address

758 S 8TH St
West Dundee, IL 60118-2102
Phone (847) 836-5202

National Provider Directory

National Provider Directory

Locations

758 S 8th St
West Dundee, IL 60118
Phone (847) 836-5202

Practitioners & affiliated clinicians

Practitioners 1

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": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1669743290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182102",
            "telephone_number": "847-836-5202",
            "fax_number": "847-836-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 S 8TH ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182102",
            "telephone_number": "847-836-5202",
            "fax_number": "847-836-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET CHIRO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-836-5202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.