Organization Active NPI

Lee Echelbarger Incorporated

  • Chiropractor
  • Schaumburg, IL
National Provider Identifier
1700065521
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009131 Issued in IL
Legal business name
LEE ECHELBARGER INCORPORATED
Practice address
740 E Schaumburg Rd
Schaumburg, IL 60194-3508
Phone
(847) 781-9595
Fax
(847) 781-1799
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Dr. Lee B Echelbarger, DCNPI 1366434805
Title
Chiropractor Owner
Phone
(847) 781-9595

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038009131 IL Primary

Addresses

Primary practice location

740 E Schaumburg Rd
Schaumburg, IL 60194-3508

Mailing address

740 E Schaumburg Rd
Schaumburg, IL 60194-3508
Phone (847) 781-9595

Other identifiers 1

IdentifierTypeStateIssuer
01632113OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Back In Line Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071126000263 IL Part B Supplier - Clinic/Group Practice 3678661873 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Locations

740 E Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 781-9595

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1700065521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943508",
            "telephone_number": "847-781-9595",
            "fax_number": "847-781-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943508",
            "telephone_number": "847-781-9595",
            "fax_number": "847-781-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE ECHELBARGER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "ECHELBARGER",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "847-781-9595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01632113",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Line Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.