NPIMap

Organization Active NPI

Moran-Schaefer Clinic

  • Orthopedic Chiropractor
  • Wheeling, IL
National Provider Identifier
1891902383
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038006898 Issued in IL
Legal business name
MORAN-SCHAEFER CLINIC
Practice address
1111 W Dundee Rd
Wheeling, IL 60090-3936
Phone
(847) 541-6648
Fax
(847) 541-6647
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Richard Schaefer, D.C.NPI 1417930686
Title
Owner
Phone
(847) 541-6648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038006898 IL
Orthopedic ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NX0800X 038006898 IL Primary

Addresses

Primary practice location

1111 W Dundee Rd
Wheeling, IL 60090-3936

Mailing address

1111 W Dundee Rd
Wheeling, IL 60090-3936
Phone (847) 541-6648

Other identifiers 1

IdentifierTypeStateIssuer
1682407OtherBCBS

National Provider Directory

National Provider Directory

Locations

1111 W Dundee Rd
Wheeling, IL 60090
Phone (847) 459-0321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1891902383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903936",
            "telephone_number": "847-541-6648",
            "fax_number": "847-541-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W DUNDEE RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903936",
            "telephone_number": "847-541-6648",
            "fax_number": "847-541-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORAN-SCHAEFER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-541-6648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006898",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1682407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.