Chicago Neuroscience Institute, LTD

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

Organization subpart

No

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

Authorized official

Name

Dr. David H. Durrant, DC, PHD

Title

Director

Phone

(847) 888-1811

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004673",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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": []
}

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• Nancy B Chickerneo, PH D LCPC

• Neurology Chiropractor in Elgin, IL
• Providers in Elgin, IL by specialty
• Neurology Chiropractor in Illinois

• 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.