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ELM STREET MEDICAL CENTER LTD
NPI 1164645008
Chiropractor in Mchenry, IL

Active since April 10, 2007
4921 W ELM ST, SUITE A, MCHENRY, IL 60050(815) 344-1025(815) 344-1208 Get Directions Write a Review

NPPES record last updated: August 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elm Street Medical Center Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELM STREET MEDICAL CENTER LTD (NPI 1164645008) is a healthcare organization registered as a chiropractor in Mchenry, Illinois and active in the NPI registry since April 2007. The organization lists Kenneth T. Reiser, Owner, as its authorized official.

NPPES Registry Identity

NPI1164645008
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameELM STREET MEDICAL CENTER LTD
Location Address4921 W ELM ST, SUITE AMchenry, IL 60050-4020
Mailing Address4921 W Elm St, Suite AMchenry, IL 60050-4020 · (815) 344-1025 · Fax (815) 344-1208
Phone(815) 344-1025
Fax(815) 344-1208
Organization SubpartNo
Authorized OfficialKenneth T. ReiserOwner · (815) 344-1025
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 21, 2013
✔ NPI 1164645008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038-005010
Definition
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.
4921 W ELM ST, Mchenry, IL 60050
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Other Identifiers 4

Other05632034IL · Blue Cross Provider Numbe
Medicaid038005010IL
Medicare UPINT38063IL
Medicare PIN579590IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FLORENCE L. PETERS, DPM, LLC
Podiatrist
4921 W ELM ST
MCHENRY, IL 60050
McHenry County (630) 329-9758

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elm Street Medical Center Ltd's NPI number?

The NPI number for Elm Street Medical Center Ltd is 1164645008. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Elm Street Medical Center Ltd located?

Elm Street Medical Center Ltd is located at 4921 W Elm St Suite A, Mchenry, IL 60050. The listed phone number is (815) 344-1025.

What is Elm Street Medical Center Ltd's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Elm Street Medical Center Ltd was last updated on August 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.