5-Star Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-007070 Issued in IL

Legal business name

5-STAR CHIROPRACTIC, LTD.

Practice address

5057 N Harlem Ave
Chicago, IL 60656-3501

Phone

(773) 631-5555

Fax

(773) 631-5557

NPI assigned

Mar 13, 2013

Last updated

Mar 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pat Fiore, D.C.NPI 1043371099

Title

Chiropractor/ President

Phone

(773) 631-5555

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, and the practitioner matching its NPPES authorized official.

• Pat Fiore, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1043371099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1104167261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563501",
            "telephone_number": "773-631-5555",
            "fax_number": "773-631-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563501",
            "telephone_number": "773-631-5555",
            "fax_number": "773-631-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "5-STAR CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "FIORE",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "CHIROPRACTOR/ PRESIDENT",
        "authorized_official_telephone_number": "773-631-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007070",
            "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 Mar 13, 2013; 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.