Organization Active NPI

A to Z Chiropractic SC

  • Chiropractor
  • Crystal Lake, IL
National Provider Identifier
1770913519
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012458 Issued in IL
Legal business name
A TO Z CHIROPRACTIC SC
Practice address
407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Phone
(847) 987-5085
Fax
(847) 556-4924
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Ashley Ryan, D.C.
Title
Owner
Phone
(847) 425-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012458 IL Primary

Addresses

Primary practice location

407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238

Mailing address

407 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6238
Phone (847) 987-5085

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180105000782 IL Part B Supplier - Clinic/Group Practice 9537428172 Receives reassigned benefits from 4 practitioners
Practice locations: Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

407 E Congress Pkwy
Ste C
Crystal Lake, IL 60014
Phone (847) 987-5085

1095 Pingree Rd
Ste 213
Crystal Lake, IL 60014
Phone (847) 987-5058

Practitioners & affiliated clinicians

Practitioners 4

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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1770913519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146238",
            "telephone_number": "847-987-5085",
            "fax_number": "847-556-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146238",
            "telephone_number": "847-987-5085",
            "fax_number": "847-556-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TO Z CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-425-5915",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.