Chirosource of Palos Heights

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008221 Issued in IL

Legal business name

CHIROSOURCE OF PALOS HEIGHTS

Practice address

12717 S Ridgeland Ave
Palos Heights, IL 60463-2242

Phone

(708) 371-6114

Fax

(708) 371-0816

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Rich Sheppard, DC

Title

President

Phone

(708) 371-6114

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1013176577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12717 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632242",
            "telephone_number": "708-371-6114",
            "fax_number": "708-371-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12717 S RIDGELAND AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632242",
            "telephone_number": "708-371-6114",
            "fax_number": "708-371-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROSOURCE OF PALOS HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-371-6114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Health Colleagues, LLC
• Nikya Chillis
• Mumtaz J. Chinoy, M.D.
• Nicholas D. Chionis, D.D.S.
• Chiro One Wellness Center of Palos Heights LLC
• Nicole A. Cho, MD
• Cody Cholewa, APN, CNP
• Chris Szydelko DDS PC
• Chris Szydelko DDS PC
• Cicero Dental Inc

• Chiropractor in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.