Lundgren Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008435 Issued in IL

Legal business name

LUNDGREN CHIROPRACTIC, LTD

Practice address

2965 13TH Ave
Rock Island, IL 61201-2814

Phone

(309) 793-4858

NPI assigned

Jun 26, 2008

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eric Lundgren, D.C.NPI 1306806120

Title

Officer

Phone

(309) 793-4858

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Eric Lundgren, D.C.

  • Chiropractor
  • Rock Island, IL
  • NPI 1306806120
  Medicare reassignment Care Compare group Authorized official
• Pyper Ann Turriff, DC

  • Chiropractor
  • Rock Island, IL
  • NPI 1528952942
  Medicare reassignment Care Compare group NPD
• Kilbo Yun, DC

  • Chiropractor
  • Edmonds, WA
  • NPI 1801643150

  IL

  Medicare reassignment Care Compare group NPD
• James Thomas Stegmaier

  • Chiropractor
  • Rock Island, IL
  • NPI 1538548235
  Medicare reassignment Care Compare group
• John Thomas Brozovich, DC

  • Chiropractor
  • Aledo, IL
  • NPI 1225556657
  Medicare reassignment
• Jeramy David Blackwood, D.C.

  • Chiropractor
  • Milan, IL
  • NPI 1174852016
  NPD (past)

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1861654469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 13TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012814",
            "telephone_number": "309-793-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 13TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012814",
            "telephone_number": "309-793-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNDGREN CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LUNDGREN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "309-793-4858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8122098",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "443330",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ludin
• Samuel Lueders
• Dawn M Luedtke, PT
• Lorena Lujan
• Debra Jean Lundeen, RN
• Eric Lundgren, D.C.
• Lutheran Social Services of Il
• Kimberly Lyall, PTA
• Angela Lynch, MA
• M. Hassan Diab, M.D., S.C.

• Chiropractor in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.