Gary Chiropractic Offices PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003368 Issued in IL

Legal business name

GARY CHIROPRACTIC OFFICES PC

Practice address

201 N Jackson
Lithfield, IL 62056-2009

Phone

(217) 324-6424

Fax

(217) 324-6424

NPI assigned

Mar 25, 2008

Last updated

May 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward J Gary, DC

Title

Chiropractic Physician

Phone

(217) 324-6424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1740452366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N JACKSON",
            "city": "LITHFIELD",
            "state": "IL",
            "postal_code": "620562009",
            "telephone_number": "217-324-6424",
            "fax_number": "217-324-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N JACKSON",
            "city": "LITHFIELD",
            "state": "IL",
            "postal_code": "620562009",
            "telephone_number": "217-324-6424",
            "fax_number": "217-324-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY CHIROPRACTIC OFFICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "GARY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "217-324-6424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38003368",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.