Active NPI
Dynamic Sports Fitness & Chiropractic
- Chiropractor
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011868
- Legal business name
- DYNAMIC SPORTS FITNESS & CHIROPRACTIC
- Practice address
- 2744 Forgue Dr.
C106
Naperville, IL 60564 - Phone
- (630) 302-0845
- NPI assigned
- Jan 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adam Nicholas Macek, D.C.
- Title
- Chiropractic Physician
- Phone
- (630) 302-0845
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011868 | IL | Primary |
Addresses
Primary practice location
2744 Forgue Dr.
C106
Naperville, IL 60564
Mailing address
716 Clarendon LN
Aurora, IL 60504-3226
Phone (630) 302-0845
National Provider Directory
National Provider DirectoryLocations
2744 Forgue Dr
Ste C105
Naperville, IL 60564
Phone (630) 302-0845
2744 Forgue Dr
#C106
Naperville, IL 60564
Phone (630) 302-0845
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Naperville, IL
- NPI 1255636932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296432000000",
"number": "1952606097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 CLARENDON LN",
"city": "AURORA",
"state": "IL",
"postal_code": "605043226",
"telephone_number": "630-302-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2744 FORGUE DR.",
"address_2": "C106",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60564",
"telephone_number": "630-302-0845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC SPORTS FITNESS & CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-31",
"status": "A",
"authorized_official_last_name": "MACEK",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "NICHOLAS",
"authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
"authorized_official_telephone_number": "630-302-0845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.