Organization Active NPI

Northern Illinois Health Service

Doing business as Nihs

  • Chiropractor
  • Loves Park, IL
National Provider Identifier
1780706937
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHERN ILLINOIS HEALTH SERVICE
Doing business as
Nihs
Practice address
1820 Windsor Rd
Suite a
Loves Park, IL 61111-4271
Phone
(815) 986-4411
Fax
(815) 986-4414
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Clarke Shih, DC
Title
President
Phone
(815) 986-4411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X IL

Addresses

Primary practice location

1820 Windsor Rd
Suite a
Loves Park, IL 61111-4271

Mailing address

1820 Windsor Rd
Suite a
Loves Park, IL 61111-4271
Phone (815) 986-4411

Other identifiers 1

IdentifierTypeStateIssuer
10132041OtherILBCBS

Other names 1

  • NIHS Doing business as

National Provider Directory

National Provider Directory

Locations

1820 Windsor Rd
Ste A
Loves Park, IL 61111
Phone (815) 986-4411

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1780706937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "SUITE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411",
            "fax_number": "815-986-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "SUITE A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411",
            "fax_number": "815-986-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ILLINOIS HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "SHIH",
        "authorized_official_first_name": "CLARKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-986-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10132041",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.