NPIMap

Organization Active NPI

Advanced Neck & Back Pain Clinic, Inc

  • Chiropractor
  • Vernon Hills, IL
National Provider Identifier
1821359787
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012136 Issued in IL
Legal business name
ADVANCED NECK & BACK PAIN CLINIC, INC
Practice address
935 Lakeview Pkwy
Suite 110
Vernon Hills, IL 60061-1443
Phone
(847) 932-1079
Fax
(847) 932-1082
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Dr. Scott S Dooley, DCNPI 1093795817
Title
President
Phone
(847) 932-1079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012136 IL Primary

Addresses

Primary practice location

935 Lakeview Pkwy
Suite 110
Vernon Hills, IL 60061-1443

Mailing address

935 Lakeview Pkwy
Suite 110
Vernon Hills, IL 60061-1443
Phone (847) 932-1079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1821359787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PKWY",
            "address_2": "SUITE 110",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611443",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 LAKEVIEW PKWY",
            "address_2": "SUITE 110",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611443",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NECK & BACK PAIN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-932-1079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.