The Doc of West Loop PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE DOC OF WEST LOOP PLLC

Practice address

1144 W Randolph St Ste 2
Chicago, IL 60607-1619

Phone

(847) 217-4697

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kamal Vaid, DCNPI 1295283455

Title

Manager

Phone

(847) 217-4697

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Kamal Vaid, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1295283455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1063253276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MAPLE ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531424",
            "telephone_number": "847-217-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 W RANDOLPH ST STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071619",
            "telephone_number": "847-217-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOC OF WEST LOOP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-217-4697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.