Oak Park Sport & Spine SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

42618875 Issued in IL

Legal business name

OAK PARK SPORT & SPINE SC

Practice address

127 N Marion St
Suite 6
Oak Park, IL 60301-1092

Phone

(708) 445-7331

Fax

(708) 445-7339

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Adam Nicholas Dudlicek, D.C.NPI 1215954151

Title

Chiropractic Physician / Owner

Phone

(708) 445-7331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Adam Nicholas Dudlicek, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1215954151
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003825522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N MARION ST",
            "address_2": "SUITE 6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011092",
            "telephone_number": "708-445-7331",
            "fax_number": "708-445-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MARION ST",
            "address_2": "SUITE 6",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011092",
            "telephone_number": "708-445-7331",
            "fax_number": "708-445-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK SPORT & SPINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDLICEK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "708-445-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "42618875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park Oral Surgery, P.C.
• Oak Park Pediatrics LTD.
• Oak Park Physiotherapy
• Oak Park PS Dist 97
• Oak Park River Forest Infant Welfare Society
• Oak Park Sports Medicine
• Oak Park Township
• Oak Park VA Clinic
• Oak Park Womens Health
• Oak Park Womens Health

• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.