Ridgeland Family Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009701 Issued in IL

Legal business name

RIDGELAND FAMILY CHIROPRACTIC INC

Practice address

9830 Ridgeland Ave
Chicago Ridge, IL 60415-2667

Phone

(708) 363-0901

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Assem Jaber, D.C.NPI 1639114598

Title

President

Phone

(708) 636-0901

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Assem Jaber, DC

  • Chiropractor
  • Chicago Ridge, IL
  • NPI 1639114598
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1003025602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604533724",
            "telephone_number": "708-363-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-363-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELAND FAMILY CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "JABER",
        "authorized_official_first_name": "ASSEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-0901",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "01632599",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamad Rachid
• Sherif Mohamed Rashad, PHYSICAL THERAPIST
• Richard M. Janiczek, DDS., LTD.
• Kayla Danielle Richert, NP
• Ridge Dental LTD
• Ridgeland Immediate Care
• Robin L. Wurster
• Veronica Moncia Robinson
• Jiselle Roman, LCPC
• Camlinh Nguyen Roska, NP

• All providers in Chicago Ridge, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.