NPIMap

Organization Active NPI

Essential Health Chiropractic, LLC

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1780844944
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010384 Issued in IL
Legal business name
ESSENTIAL HEALTH CHIROPRACTIC, LLC
Practice address
625 Roger Williams Ave
Highland Park, IL 60035-4840
Phone
(608) 345-6251
Fax
(630) 737-0310
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Dr. Kevin Garnett Dutton, D.C.
Title
President
Phone
(608) 345-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010384 IL Primary

Addresses

Primary practice location

625 Roger Williams Ave
Highland Park, IL 60035-4840

Mailing address

625 Roger Williams Ave
Highland Park, IL 60035-4840
Phone (608) 345-6251

National Provider Directory

National Provider Directory

Locations

625 Roger Williams Ave
Highland Park, IL 60035
Phone (608) 345-6251

Practitioners & affiliated clinicians

Practitioners 3

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1780844944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ROGER WILLIAMS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354840",
            "telephone_number": "608-345-6251",
            "fax_number": "630-737-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ROGER WILLIAMS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354840",
            "telephone_number": "608-345-6251",
            "fax_number": "630-737-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GARNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-345-6251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.