Organization Active NPI

Vladimir Roytman Consulting, Inc.

  • Chiropractor
  • Round Lake, IL
National Provider Identifier
1982149324
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009531 Issued in IL
Legal business name
VLADIMIR ROYTMAN CONSULTING, INC.
Practice address
1525 S Elizabeth LN
Round Lake, IL 60073-4291
Phone
(224) 392-8523
Fax
(847) 740-9200
NPI assigned
Dec 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Mr. Vladimir Roytman
Title
President
Phone
(224) 392-8523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-009531 IL Primary

Addresses

Primary practice location

1525 S Elizabeth LN
Round Lake, IL 60073-4291

Mailing address

1525 S Elizabeth LN
Round Lake, IL 60073-4291
Phone (224) 392-8523

Other identifiers 1

IdentifierTypeStateIssuer
036100764MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1982149324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S ELIZABETH LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734291",
            "telephone_number": "224-392-8523",
            "fax_number": "847-740-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 S ELIZABETH LN",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600734291",
            "telephone_number": "224-392-8523",
            "fax_number": "847-740-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VLADIMIR ROYTMAN CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "ROYTMAN",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-392-8523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.