Organization Active NPI

Weiss Family Chiropractic SC

  • Chiropractor
  • Streamwood, IL
National Provider Identifier
1063684652
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006960 Issued in IL
Legal business name
WEISS FAMILY CHIROPRACTIC SC
Practice address
523 S Bartlett Rd
Streamwood, IL 60107-1309
Phone
(630) 372-7372
Fax
(630) 372-7372
NPI assigned
Mar 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Charles Weiss, D.C.NPI 1598881849
Title
President
Phone
(630) 372-7372

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 038006960 IL Primary

Addresses

Primary practice location

523 S Bartlett Rd
Streamwood, IL 60107-1309

Mailing address

523 S Bartlett Rd
Streamwood, IL 60107-1309
Phone (630) 372-7372

Other identifiers 1

IdentifierTypeStateIssuer
21621762OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

523 S Bartlett Rd
Streamwood, IL 60107
Phone (630) 327-7372

Practitioners & affiliated clinicians

Practitioners 3

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1063684652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S BARTLETT RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071309",
            "telephone_number": "630-372-7372",
            "fax_number": "630-372-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S BARTLETT RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071309",
            "telephone_number": "630-372-7372",
            "fax_number": "630-372-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS FAMILY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-372-7372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "21621762",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streamwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.