Optimal Balance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMAL BALANCE CHIROPRACTIC LLC

Practice address

7363 North Ave
River Forest, IL 60305-1230

Phone

(708) 209-1155

Fax

(708) 209-1926

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Harriett Mae H Chan, DCNPI 1235472127

Title

Chiropractor/Owner

Phone

(630) 873-9841

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Harriett Mae Hidalgo Chan, D.C.

  • Chiropractor
  • River Forest, IL
  • NPI 1235472127
  Medicare reassignment NPD Authorized official
• Doreen I King, D.C.

  • Sports Physician Chiropractor
  • River Forest, IL
  • NPI 1457361495
  NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1104487602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-209-1155",
            "fax_number": "708-209-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-209-1155",
            "fax_number": "708-209-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL BALANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "HARRIETT MAE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "630-873-9841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Shannon Oconnell, LCSW
• Anna Marie Oconnor, PT
• Laura Oddi
• Margaret Cozzi Olson, DPM
• Opportunity Knocks, Inc. (Opportunity Knocks)
• Diana Abigail Orellana Buitron
• Ivie Vanessa Oriakhi, RPH
• Madeline Mary Orourke
• Gloria Ortiz
• Kristi Pajcini, DC

• Chiropractor in River Forest, IL
• Providers in River Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.