Burgundy L Lander, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009357 Issued in IL

Practice address

415 W Division St
Coal City, IL 60416-1405

Phone

(815) 518-5228

Fax

(815) 634-3188

NPI assigned

Jul 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lander Family Chiropractic LLC

  • Chiropractor
  • Coal City, IL
  • NPI 1609179456
  Medicare reassignment NPD Authorized official
• Lardi Chiropractic LTD

  • Chiropractor
  • Coal City, IL
  • NPI 1174646483
  NPD (past)
• Weber Micetich Chiropractic P.C.

  • Chiropractor
  • Coal City, IL
  • NPI 1003933300
  NPD (past)

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1912926650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W DIVISION ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161405",
            "telephone_number": "815-518-5228",
            "fax_number": "815-634-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W DIVISION ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161405",
            "telephone_number": "815-518-5228",
            "fax_number": "815-634-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDER",
        "first_name": "BURGUNDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaurav Kapoor, MD
• Jane Louise Kapral, M.D.
• Erica Robin Krahl, MA
• Charlene Marie Krause, RN, IBCLC
• Lander Family Chiropractic LLC
• Erin S Lane, DPT
• Hazel J Langcauon, M.D.
• Lardi Chiropractic LTD
• Kelly Lardi, D.C.
• Liberty Medical Center Coal City SC

• All providers in Coal City, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.