Individual provider Active NPI

Michael Glaskin-Clay, D.C.

  • Chiropractor
  • Buffalo Grove, IL
National Provider Identifier
1861552929
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38008989 Issued in IL
Practice address
1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Phone
(847) 276-2868
Fax
(847) 276-2783
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38008989 IL Primary

Addresses

Primary practice location

1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385

Mailing address

1411 McHenry Rd
Suite 225
Buffalo Grove, IL 60089-1385
Phone (847) 276-2868

Other identifiers 1

IdentifierTypeStateIssuer
13894889OtherILBCBS OF ILLINOIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38008989ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Grove Chiropractic Center, LTD Chiropractor PastSince Jan 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1861552929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD",
            "address_2": "SUITE 225",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891385",
            "telephone_number": "847-276-2868",
            "fax_number": "847-276-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MCHENRY RD",
            "address_2": "SUITE 225",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891385",
            "telephone_number": "847-276-2868",
            "fax_number": "847-276-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASKIN-CLAY",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38008989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILLINOIS",
            "identifier": "13894889",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.