Blum LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007783 Issued in IL

Legal business name

BLUM LTD

Doing business as

Blum Chiropractic

Practice address

10 N Roselle Rd # 300
Roselle, IL 60172-1592

Phone

(630) 351-4700

Fax

(630) 351-9206

NPI assigned

Apr 12, 2007

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John W Blum, DC

Title

Chiropractor

Phone

(630) 351-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blum Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1043434822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N ROSELLE RD # 300",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721592",
            "telephone_number": "630-351-4700",
            "fax_number": "630-351-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N ROSELLE RD # 300",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601721592",
            "telephone_number": "630-351-4700",
            "fax_number": "630-351-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUM LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "630-351-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01623246",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blum Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Roselle, IL
• Providers in Roselle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.