Organization Active NPI

Spine Worx

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1043949290
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE WORX
Practice address
4500 W Fullerton Ave
Chicago, IL 60639-1974
Phone
(847) 834-9097
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Omar Bleibel, DCNPI 1073156238
Title
Chiropractic Physician
Phone
(847) 834-9097

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 Primary

Addresses

Primary practice location

4500 W Fullerton Ave
Chicago, IL 60639-1974

Mailing address

234 Greenfield Dr
Glenview, IL 60025-4817

National Provider Directory

National Provider Directory

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": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1043949290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 GREENFIELD DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391974",
            "telephone_number": "847-834-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE WORX",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "BLEIBEL",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-834-9097",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.