Edgebrook Chiropractic Health Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011168 Issued in IL

Legal business name

EDGEBROOK CHIROPRACTIC HEALTH CENTER

Practice address

6139 W Touhy Ave
Chicago, IL 60646-1268

Phone

(847) 436-2596

Fax

(847) 675-8305

NPI assigned

Jun 5, 2015

Organization subpart

No

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

Authorized official

Name

Evana Younan, D.C.

Title

President/Chiropractor

Phone

(847) 436-2596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1083094940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6139 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461268",
            "telephone_number": "847-436-2596",
            "fax_number": "847-675-8305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6139 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461268",
            "telephone_number": "847-436-2596",
            "fax_number": "847-675-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEBROOK CHIROPRACTIC HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "YOUNAN",
        "authorized_official_first_name": "EVANA",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "847-436-2596",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Maurice Edfors, LCPC, CADC
• Edgar J Vargas, MD LTD
• Edgar Rios M.D., S.C
• Lauren Edgar, MD
• Alissa Ann Edge, MA, LCPC
• Edgebrook Foot & Ankle Clinic, Inc
• Edgebrook Open MRI Inc
• Edgebrook Vision Center LLC
• Robert Reynolds Edger, MD
• Cole Dreskin Edgerton

• 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 5, 2015; 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.