NPI Code Detail JSON Logo

1295479830 NPI number — SUMMERS CHIROPRACTIC PLLC

NPI Number: 1295479830
Health Care Provider/Practitioner: SUMMERS CHIROPRACTIC PLLC

Information about “1295479830” NPI (SUMMERS CHIROPRACTIC PLLC) exists in 1295479830 in HTML format HTML  |  1295479830 in plain Text format TXT  |  1295479830 in PDF (Portable Document Format) PDF  |  1295479830 in an XML format XML  formats.

NPI Number : 1295479830 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295479830",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUMMERS CHIROPRACTIC PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2501 CHATHAM RD STE R",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62704-4188",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "224-545-6651",
    "MailingAddressFaxNumber": "847-395-2930",
    "FirstLinePracticeLocationAddress": "884 HILLSIDE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ANTIOCH",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60002-1226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-395-1110",
    "PracticeLocationAddressFaxNumber": "847-395-2630",
    "EnumerationDate": "04/20/2022",
    "LastUpdateDate": "04/20/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SUMMERS",
    "AuthorizedOfficialFirstName": "TY",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "DOCTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "224-545-6651",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.