Organization Active NPI

Foley Physical Medicine LLC

  • Chiropractor
  • New Lenox, IL
National Provider Identifier
1700163441
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011949 Issued in IL
Legal business name
FOLEY PHYSICAL MEDICINE LLC
Practice address
1215 N Cedar Rd
Suite 1
New Lenox, IL 60451-1293
Phone
(815) 717-8646
NPI assigned
Nov 9, 2011
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Dr. Nathan Lee Foley, D.C.NPI 1194010827
Title
MBR LLC
Phone
(815) 717-8646

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011949 IL Primary

Addresses

Primary practice location

1215 N Cedar Rd
Suite 1
New Lenox, IL 60451-1293

Mailing address

1215 N Cedar Rd
Suite 1
New Lenox, IL 60451-1293
Phone (815) 717-8646

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1700163441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 N CEDAR RD",
            "address_2": "SUITE 1",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511293",
            "telephone_number": "815-717-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 N CEDAR RD",
            "address_2": "SUITE 1",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511293",
            "telephone_number": "815-717-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLEY PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MBR LLC",
        "authorized_official_telephone_number": "815-717-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.