Completely Chiropractic, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008775 Issued in IL

Legal business name

COMPLETELY CHIROPRACTIC, LTD.

Practice address

6852 W 111TH Street
Worth, IL 60482

Phone

(708) 448-3818

Fax

(708) 448-3804

NPI assigned

Jul 14, 2009

Last updated

Jul 16, 2009By 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

Mrs. Kristen Marie Gustafson, D.C.

Title

Chiropractor/Owner

Phone

(708) 448-3818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1114156916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6852 W 111TH STREET",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "60482",
            "telephone_number": "708-448-3818",
            "fax_number": "708-448-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6852 W 111TH STREET",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "60482",
            "telephone_number": "708-448-3818",
            "fax_number": "708-448-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETELY CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "708-448-3818",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Buchanan, RBT
• Diane Burnickas, L/PTA
• Michelle Lee Cedergren
• Victoria Christensen, BCBA
• Mark Brian Colander, O.D,
• Eric Corrao, PHARMD
• Creek Point Dental
• Cultivate Behavioral Health and Education- Illinois
• Daniel T Bodine DDS PC
• Alice Daniels, M.D.

• Chiropractor in Worth, IL
• Providers in Worth, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.