Northwest Pain Management Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042620424 Issued in IL

Legal business name

NORTHWEST PAIN MANAGEMENT CENTER LTD

Practice address

405 E Congress Pkwy Ste C
Crystal Lake, IL 60014-6229

Phone

(818) 893-6815

Fax

(815) 687-8684

NPI assigned

Apr 21, 2015

Last updated

Jul 21, 2022By 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. Laura A Crane, DCNPI 1104090661

Title

President

Phone

(815) 893-6815

Specialties & licenses 1

Addresses

Locations

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.

• Laura Ann Crane, D.C.

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1104090661
  Authorized official Same address or phone
• Nicole Theresa Giacopelli, DC

  • Chiropractor
  • Rockford, IL
  • NPI 1871049692
  NPD (past)

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881081420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146229",
            "telephone_number": "818-893-6815",
            "fax_number": "815-687-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E CONGRESS PKWY STE C",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146229",
            "telephone_number": "818-893-6815",
            "fax_number": "815-687-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PAIN MANAGEMENT CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CRANE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-893-6815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042620424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Autism Diagnostic Center, LLC
• Northwest Suburban Surgical Services
• Megan Norton, LMT
• Peter Timothy Norton, D.C.
• John D Novak, PT, DPT
• Kamil Nowacki, DMD

• Chiropractor in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.