Organization Active NPI

Healthcare Associates

Doing business as Lakeside Chiropractic

  • Chiropractor
  • Fox Lake, IL
National Provider Identifier
1740498773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHCARE ASSOCIATES
Doing business as
Lakeside Chiropractic
Practice address
2 W Grand Ave
Suite 109
Fox Lake, IL 60020-1262
Phone
(847) 587-0003
Fax
(847) 587-0210
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristen Lynn Ball, D.C.NPI 1750452231
Title
Owner
Phone
(847) 587-0003

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

2 W Grand Ave
Suite 109
Fox Lake, IL 60020-1262

Mailing address

2 W Grand Ave
Suite 109
Fox Lake, IL 60020-1262
Phone (847) 587-0003

Other identifiers 1

IdentifierTypeStateIssuer
BLUE CROSS BLUE SHIEOtherIL04932520

Other names 1

  • Lakeside Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

2 W Grand Ave
Ste 109
Fox Lake, IL 60020
Phone (847) 587-0003

Practitioners & affiliated clinicians

Practitioners 3

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740498773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W GRAND AVE",
            "address_2": "SUITE 109",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201262",
            "telephone_number": "847-587-0003",
            "fax_number": "847-587-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W GRAND AVE",
            "address_2": "SUITE 109",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201262",
            "telephone_number": "847-587-0003",
            "fax_number": "847-587-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-587-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "04932520",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fox Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.