ROUND LAKE BEACH CHIROPRACTIC S.C. NPI 1295859569

NPI Information

  • NPI: 1295859569
  • Provider Name: ROUND LAKE BEACH CHIROPRACTIC, S.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 36735 N IL ROUTE 83
    LAKE VILLA, IL
    ZIP 60046
  • Phone: (847) 265-5600

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NPI Details

ROUND LAKE BEACH CHIROPRACTIC, S.C. is a chiropractor in Lake Villa, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ROUND LAKE BEACH CHIROPRACTIC, S.C. NPI is 1295859569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

36735 N IL ROUTE 83
LAKE VILLA, IL
ZIP 60046-619
Phone: (847) 265-5600
Fax: (847) 245-4491

The provider's authorized official is Holly Lynne Allen .
The authorized official title is Administrator and has the following contact phone number (847) 265-5600.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 1/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038006409ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U05485MEDICARE UPINILLINOIS
2932820MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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