Active NPI
Harrison Chiropractic Center, S.C.
- Chiropractor
- McHenry, IL
National Provider Identifier
1790092153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011740
- Legal business name
- HARRISON CHIROPRACTIC CENTER, S.C.
- Practice address
- 3643 Municipal Dr
McHenry, IL 60050-5434 - Phone
- (815) 759-1100
- Fax
- (815) 344-1208
- NPI assigned
- Sep 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Michael Harrison, D.C.
- Title
- Business Owner
- Phone
- (815) 759-1100
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011740 | IL | Primary |
Addresses
Primary practice location
3643 Municipal Dr
McHenry, IL 60050-5434
Mailing address
3643 Municipal Dr
McHenry, IL 60050-5434
Phone (815) 759-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F400154860 | Other | IL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4005 W Kane Ave
Ste L
McHenry, IL 60050
Phone (815) 759-1100
3643 Municipal Dr
McHenry, IL 60050
Phone (815) 344-1025
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- McHenry, IL
- NPI 1902805310
-
- Chiropractor
- McHenry, IL
- NPI 1437164266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1790092153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 MUNICIPAL DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505434",
"telephone_number": "815-759-1100",
"fax_number": "815-344-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 MUNICIPAL DR",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600505434",
"telephone_number": "815-759-1100",
"fax_number": "815-344-1208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISON CHIROPRACTIC CENTER, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "815-759-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "F400154860",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.