Active NPI
Edgebrook Chiropractic Health Center
- Chiropractor
- Chicago, IL
National Provider Identifier
1083094940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011168
- 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
- Last updated
- Jun 5, 2015
- 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
- Evana Younan, D.C.
- Title
- President/Chiropractor
- Phone
- (847) 436-2596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011168 | IL | Primary |
Addresses
Primary practice location
6139 W Touhy Ave
Chicago, IL 60646-1268
Mailing address
6139 W Touhy Ave
Chicago, IL 60646-1268
Phone (847) 436-2596
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Lincolnwood, IL
- NPI 1457664955
NPI Registry JSON
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": []
}
Other providers in Chicago, IL
Sources for this page
- 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.