Organization Active NPI

Russell Chiropractic Care, SC

  • Orthopedic Chiropractor
  • Elmhurst, IL
National Provider Identifier
1821141862
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038006311 Issued in IL
Legal business name
RUSSELL CHIROPRACTIC CARE, SC
Practice address
477 S Spring Rd
Elmhurst, IL 60126-3857
Phone
(630) 530-0506
Fax
(630) 530-0854
NPI assigned
Jan 21, 2007
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. Brian J Russell, DC
Title
President
Phone
(630) 530-0506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038006311 IL
Orthopedic Chiropractor 111NX0800X 038006311 IL Primary

Addresses

Primary practice location

477 S Spring Rd
Elmhurst, IL 60126-3857

Mailing address

477 S Spring Rd
Elmhurst, IL 60126-3857
Phone (630) 530-0506

National Provider Directory

National Provider Directory

Locations

135 N Addison Ave
Ste 107
Elmhurst, IL 60126
Phone (630) 530-0506

100 E Roosevelt Rd
Ste 45
Villa Park, IL 60181
Phone (630) 530-0506

Practitioners & affiliated clinicians

Practitioners 2

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": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1821141862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-0506",
            "fax_number": "630-530-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 S SPRING RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263857",
            "telephone_number": "630-530-0506",
            "fax_number": "630-530-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CHIROPRACTIC CARE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-530-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038006311",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.