Active NPI
Family Chiropractic Care,S.C.
- Orthopedic Chiropractor
- Summit, IL
National Provider Identifier
1053649079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 038006981
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.