NPIMap

Organization Active NPI

Palatine Chiropractic PLLC

Doing business as Palatine Chiropractic LLC

  • Chiropractor
  • Palatine, IL
National Provider Identifier
1780285940
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALATINE CHIROPRACTIC PLLC
Doing business as
Palatine Chiropractic LLC
Practice address
1400 W Northwest Hwy
Palatine, IL 60067-1837
Phone
(847) 469-4567
NPI assigned
Nov 4, 2020
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Scott CruseNPI 1003103938
Title
Owner
Phone
(224) 250-3526

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 NU Primary

Addresses

Primary practice location

1400 W Northwest Hwy
Palatine, IL 60067-1837

Mailing address

1400 W Northwest Hwy
Palatine, IL 60067-1837
Phone (847) 469-4567

Other names 1

  • Palatine Chiropractic LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Huntley

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230531003094 IL Part B Supplier - Clinic/Group Practice 7113384496 Receives reassigned benefits from 8 practitioners
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1780285940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671837",
            "telephone_number": "847-469-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W NORTHWEST HWY",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671837",
            "telephone_number": "847-469-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATINE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-250-3526"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Huntley",
            "affiliation": "N",
            "address_1": "1400 W Northwest Hwy",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600671837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Palatine Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Palatine Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

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