Organization Active NPI

Back and Neck Pain Relief of Oak Lawn

  • Chiropractor
  • Oak Lawn, IL
National Provider Identifier
1043667199
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009063 Issued in IL
Legal business name
BACK AND NECK PAIN RELIEF OF OAK LAWN
Practice address
4550 W 103Rd St
Ste 3B
Oak Lawn, IL 60453-4866
Phone
(708) 220-0599
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Michael Francis McVady, D.C.NPI 1760417463
Title
Owner
Phone
(708) 220-0599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038009063 IL Primary

Addresses

Primary practice location

4550 W 103Rd St
Ste 3B
Oak Lawn, IL 60453-4866

Mailing address

3619 W 79TH PL
Chicago, IL 60652-1801
Phone (708) 220-0599

National Provider Directory

National Provider Directory

Locations

4550 W 103rd St
Ste 3B
Oak Lawn, IL 60453
Phone (708) 220-0599

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1043667199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 W 79TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521801",
            "telephone_number": "708-220-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 103RD ST",
            "address_2": "STE 3B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534866",
            "telephone_number": "708-220-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK AND NECK PAIN RELIEF OF OAK LAWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "MCVADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-220-0599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.