Absolute Healthcare Chiropractic LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009883 Issued in IL

Legal business name

ABSOLUTE HEALTHCARE CHIROPRACTIC LTD.

Practice address

585 Pennsylvania Ave
101
Glen Ellyn, IL 60137-4152

Phone

(630) 790-1422

Fax

(630) 790-1298

NPI assigned

Oct 10, 2007

Last updated

Oct 17, 2009By 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. Daniel Joseph Gerwig, D.C.NPI 1811074396

Title

President

Phone

(630) 790-1422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Daniel Joseph Gerwig, DC

  • Chiropractor
  • Glen Ellyn, IL
  • NPI 1811074396
  NPD Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255737600000",
    "number": "1942498332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 PENNSYLVANIA AVE",
            "address_2": "101",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374152",
            "telephone_number": "630-790-1422",
            "fax_number": "630-790-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 PENNSYLVANIA AVE",
            "address_2": "101",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374152",
            "telephone_number": "630-790-1422",
            "fax_number": "630-790-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE HEALTHCARE CHIROPRACTIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2009-10-17",
        "status": "A",
        "authorized_official_last_name": "GERWIG",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-790-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1811074396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2009; 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.