Active NPI
Gregory B. Cook, DC
- Chiropractor
- Lake in the Hills, IL
National Provider Identifier
1689628562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038008183
- Practice address
- 61 Polaris Dr
Suite 2
Lake in the Hills, IL 60156-5606 - Phone
- (815) 356-6200
- Fax
- (224) 509-8068
- NPI assigned
- May 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008183 | IL | Primary |
Addresses
Primary practice location
61 Polaris Dr
Suite 2
Lake in the Hills, IL 60156-5606
Mailing address
61 Polaris Dr
Suite 2
Lake in the Hills, IL 60156-5606
Phone (815) 356-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2268 S M
76 Suite 2
West Branch, MI 48661-8701
Phone (989) 787-0150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008183 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Chiropractic | Chiropractor | Current | Accepting new patients |
| Chicago Neuroscience & Spine Institute, LLC | Chiropractor | Past | Accepting new patients |
Locations
2268 S M 76
Ste 2
West Branch, MI 48661
Phone (989) 787-0150
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- West Branch, MI
- NPI 1982399895
-
- Neurological Surgery Physician
- Elgin, IL
- NPI 1932151602
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1689628562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 POLARIS DR",
"address_2": "SUITE 2",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601565606",
"telephone_number": "815-356-6200",
"fax_number": "224-509-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 POLARIS DR",
"address_2": "SUITE 2",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601565606",
"telephone_number": "815-356-6200",
"fax_number": "224-509-8068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "GREGORY",
"middle_name": "B.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038008183",
"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 Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.