NPIMap

Organization Active NPI

KBJ Chiropractic PC

  • Clinic/Center
  • Joliet, IL
National Provider Identifier
1114272010
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
038009082 Issued in IL
Legal business name
KBJ CHIROPRACTIC PC
Practice address
1736 Essington Rd
Joliet, IL 60435-1600
Phone
(815) 577-8527
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Bryon Coker, DCNPI 1407980220
Title
Owner
Phone
(815) 577-8527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 038009082 IL Primary

Addresses

Primary practice location

1736 Essington Rd
Joliet, IL 60435-1600

Mailing address

1736 Essington Rd
Joliet, IL 60435-1600
Phone (815) 577-8527

National Provider Directory

National Provider Directory

Locations

1736 Essington Rd
Joliet, IL 60435
Phone (815) 577-8527

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1114272010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351600",
            "telephone_number": "815-577-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604351600",
            "telephone_number": "815-577-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBJ CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-577-8527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038009082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.