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

Organization subpart

No

Name

Dr. Pat Fiore, D.C.NPI 1043371099

Title

Chiropractor/ President

Phone

(773) 631-5555

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pat Fiore, DC

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2013.

{
    "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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• 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.