Paul C. Ellstein Chiropractic Physicians, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-004815 Issued in IL

Legal business name

PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C.

Practice address

1011 Lake St
Suite 407
Oak Park, IL 60301-1148

Phone

(708) 848-8122

Fax

(708) 848-8109

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Paul Clifford Ellstein, D.C.

Title

President

Phone

(708) 848-8122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Peter James Grant, M.D.

  • Family Medicine Physician
  • Oak Park, IL
  • NPI 1306853858
  NPD (past)
• Stephanie Harris, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1689613390
  NPD (past)
• Aaron Douglas Wilkin, D.C.

  • Chiropractor
  • Charlevoix, MI
  • NPI 1972790525
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1104980358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "SUITE 407",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-848-8122",
            "fax_number": "708-848-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST",
            "address_2": "SUITE 407",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011148",
            "telephone_number": "708-848-8122",
            "fax_number": "708-848-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ELLSTEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CLIFFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-848-8122",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "31601167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reema Patel, D.O.
• Smruti Patel
• Tanvi Patel
• Pathway Provider Services PC
• Farris Patterson III, DC
• Paul Lazari LLC
• Zori A Paul, PHD, LPC, NCC
• Blaire Paulsen
• Dina Pavilonis, M.D.
• Marcia M Pavlou, PHD

• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.