Elite Recovery Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011876 Issued in IL

Legal business name

ELITE RECOVERY CHIROPRACTIC INC

Practice address

519 W 87TH St
Naperville, IL 60565-3128

Phone

(331) 215-4919

Fax

(331) 215-4917

NPI assigned

Apr 19, 2017

Organization subpart

No

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

Authorized official

Name

Brady Drew McDaniel, DCNPI 1255623914

Title

Owner & Chiropractor

Phone

(331) 215-4919

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brady Drew McDaniel, DC

  • Chiropractor
  • Naperville, IL
  • NPI 1255623914
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1740714450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W 87TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653128",
            "telephone_number": "331-215-4919",
            "fax_number": "331-215-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W 87TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605653128",
            "telephone_number": "331-215-4919",
            "fax_number": "331-215-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE RECOVERY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "DREW",
        "authorized_official_title_or_position": "OWNER & CHIROPRACTOR",
        "authorized_official_telephone_number": "331-215-4919",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Eller
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• Chiropractor in Naperville, IL
• Providers in Naperville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.