Active NPI
Lifetime Chiropractic, SC
- Chiropractor
- Lake in the Hills, IL
National Provider Identifier
1679935225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038007214
- Legal business name
- LIFETIME CHIROPRACTIC, SC
- Practice address
- 1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575 - Phone
- (847) 854-0505
- Fax
- (847) 854-0808
- NPI assigned
- Mar 23, 2016
- Last updated
- Mar 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony V Gioia, DC
- Title
- President
- Phone
- (847) 854-0505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038007214 | IL | Primary |
Addresses
Primary practice location
1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575
Mailing address
1303 W Algonquin Rd
Lake in the Hills, IL 60156-3575
Phone (847) 854-0505
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Chiropractor
- Lake in the Hills, IL
- NPI 1356340772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1679935225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 W ALGONQUIN RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601563575",
"telephone_number": "847-854-0505",
"fax_number": "847-854-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 W ALGONQUIN RD",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601563575",
"telephone_number": "847-854-0505",
"fax_number": "847-854-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME CHIROPRACTIC, SC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-23",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "GIOIA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-854-0505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038007214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.