Organization Active NPI

Evolve Chiropractic Barrington PLLC

  • Chiropractor
  • Barrington, IL
National Provider Identifier
1841917549
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVOLVE CHIROPRACTIC BARRINGTON PLLC
Doing business as
Evolve Chiropractic Barrington PLLC
Practice address
777 Lake Zurich Rd Ste 105
Barrington, IL 60010-3122
Phone
(847) 802-4824
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Scott CruseNPI 1003103938
Title
Owner
Phone
(224) 250-3526

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 Primary

Addresses

Primary practice location

777 Lake Zurich Rd Ste 105
Barrington, IL 60010-3122

Mailing address

10705 Ruth Rd
Huntley, IL 60142-7156

Other names 1

  • Evolve Chiropractic Barrington PLLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Huntley Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230113001404 IL Part B Supplier - Clinic/Group Practice 7113398942 Receives reassigned benefits from 3 practitioners
Practice locations: Barrington, IL

National Provider Directory

National Provider Directory

Locations

777 Lake Zurich Rd
Ste 105
Barrington, IL 60010
Phone (847) 277-2990

Practitioners & affiliated clinicians

Practitioners 5

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": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1841917549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 RUTH RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 LAKE ZURICH RD STE 105",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600103122",
            "telephone_number": "847-802-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE CHIROPRACTIC BARRINGTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-250-3526"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Huntley",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Huntley",
            "address_1": "777 Lake Zurich Rd Ste 105",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600103122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolve Chiropractic Barrington PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Chiropractic Barrington PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.

Verify at the official NPI Registry.