Organization Active NPI

Gauthier Health Center PC

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1992988125
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GAUTHIER HEALTH CENTER PC
Practice address
57 Danada SQ E
Wheaton, IL 60187-8484
Phone
(630) 682-8682
Fax
(630) 681-8366
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Dr. George W Gauthier III, DC
Title
Owner
Phone
(630) 682-8682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

57 Danada SQ E
Wheaton, IL 60187-8484

Mailing address

57 Danada SQ E
Wheaton, IL 60187-8484
Phone (630) 682-8682

Other identifiers 1

IdentifierTypeStateIssuer
2206151OtherILBCBS

National Provider Directory

National Provider Directory

Locations

27575 Ferry Rd
Ste 201
Warrenville, IL 60555
Phone (630) 682-8682

57 Danada Sq E
Wheaton, IL 60189
Phone (630) 528-0717

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1992988125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 DANADA SQ E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878484",
            "telephone_number": "630-682-8682",
            "fax_number": "630-681-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 DANADA SQ E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878484",
            "telephone_number": "630-682-8682",
            "fax_number": "630-681-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUTHIER HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "GAUTHIER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-682-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2206151",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.