Organization Active NPI

Family Chiropractic Care,S.C.

  • Orthopedic Chiropractor
  • Summit, IL
National Provider Identifier
1053649079
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038006981 Issued in IL
Legal business name
FAMILY CHIROPRACTIC CARE,S.C.
Practice address
7355 Archer Ave
Suite C
Summit, IL 60501-1225
Phone
(708) 458-7700
Fax
(708) 777-4779
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Mr. Robert J Zoboski, D.C.NPI 1356321079
Title
Clinic Director
Phone
(708) 458-7700

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
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 038006981 IL Primary

Addresses

Primary practice location

7355 Archer Ave
Suite C
Summit, IL 60501-1225

Mailing address

7355 Archer Ave
Suite C
Summit, IL 60501-1225
Phone (708) 458-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091202000662 IL Part B Supplier - Clinic/Group Practice 6901945088 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

54 Orland Square Dr
#A
Orland Park, IL 60462
Phone (708) 458-7700

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1053649079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 ARCHER AVE",
            "address_2": "SUITE C",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011225",
            "telephone_number": "708-458-7700",
            "fax_number": "708-777-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 ARCHER AVE",
            "address_2": "SUITE C",
            "city": "SUMMIT",
            "state": "IL",
            "postal_code": "605011225",
            "telephone_number": "708-458-7700",
            "fax_number": "708-777-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTIC CARE,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "ZOBOSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC  DIRECTOR",
        "authorized_official_telephone_number": "708-458-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038006981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.