Organization Active NPI

Chicago Neck & Back Institute LTD. PC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1083820559
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHICAGO NECK & BACK INSTITUTE LTD. PC
Practice address
5636 W Fullerton Ave Ste B
Chicago, IL 60639-2352
Phone
(773) 237-8660
Fax
(773) 237-3159
NPI assigned
May 14, 2007
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Ms. Cathy G Jungheim
Title
Office Manager
Phone
(773) 237-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

5636 W Fullerton Ave Ste B
Chicago, IL 60639-2352

Mailing address

5636 W Fullerton Ave Ste B
Chicago, IL 60639-2352
Phone (773) 237-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060425000227 IL Part B Supplier - Clinic/Group Practice 5991715732 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

5636 W Fullerton Ave
Ste B
Chicago, IL 60639
Phone (773) 237-8660

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1083820559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392352",
            "telephone_number": "773-237-8660",
            "fax_number": "773-237-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 W FULLERTON AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392352",
            "telephone_number": "773-237-8660",
            "fax_number": "773-237-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NECK & BACK INSTITUTE LTD. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "JUNGHEIM",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-237-8660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "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 Feb 19, 2025; 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.