Organization Active NPI

Chicago Neuroscience Institute, LTD

  • Neurology Chiropractor
  • Elgin, IL
National Provider Identifier
1720123797
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
Legal business name
CHICAGO NEUROSCIENCE INSTITUTE, LTD
Practice address
1795 Grandstand PL
Elgin, IL 60123-4980
Phone
(847) 888-1811
Fax
(847) 888-1868
NPI assigned
Feb 20, 2007
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Dr. David H. Durrant, DC, PHDNPI 1184677783
Title
Director
Phone
(847) 888-1811

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-004673 IL
Chiropractor 111N00000X
Neurology Chiropractor 111NN0400X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

1795 Grandstand PL
Elgin, IL 60123-4980

Mailing address

1795 Grandstand PL
Elgin, IL 60123-4980
Phone (847) 888-1811

Other identifiers 1

IdentifierTypeStateIssuer
4532387OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1795 Grandstand Pl
Lowr
Elgin, IL 60123
Phone (847) 888-1811

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1720123797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234980",
            "telephone_number": "847-888-1811",
            "fax_number": "847-888-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 GRANDSTAND PL",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234980",
            "telephone_number": "847-888-1811",
            "fax_number": "847-888-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NEUROSCIENCE INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "DURRANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-888-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, PHD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004673",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4532387",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.