Organization Active NPI

Dolan Family Chiropractic

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1730339334
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011016 Issued in IL
Legal business name
DOLAN FAMILY CHIROPRACTIC
Practice address
1137 N Eola Rd
Suite 101
Aurora, IL 60502-7096
Phone
(630) 236-3090
Fax
(630) 236-3092
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Collin Richard Dolan, DCNPI 1891980033
Title
Owner
Phone
(630) 236-3090

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038011016 IL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038011013 IL

Addresses

Primary practice location

1137 N Eola Rd
Suite 101
Aurora, IL 60502-7096

Mailing address

1137 N Eola Rd
Suite 101
Aurora, IL 60502-7096
Phone (630) 236-3090

Other identifiers 1

IdentifierTypeStateIssuer
2233886OtherILBC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000250 IL Part B Supplier - Clinic/Group Practice 6204995038 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, IL

National Provider Directory

National Provider Directory

Locations

1137 N Eola Rd
Ste 101
Aurora, IL 60502
Phone (630) 236-3090

1137 N Eola Rd
Ste 111
Aurora, IL 60502
Phone (630) 236-6698

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": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1730339334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 N EOLA RD",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027096",
            "telephone_number": "630-236-3090",
            "fax_number": "630-236-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 N EOLA RD",
            "address_2": "SUITE 101",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605027096",
            "telephone_number": "630-236-3090",
            "fax_number": "630-236-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLAN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-236-3090",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011016",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "2233886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.