Premier Chiro PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PREMIER CHIRO PC

Practice address

4353 S Kedzie Ave
Chicago, IL 60632-2841

Phone

(773) 927-1885

Fax

(773) 927-1886

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Waxman

Title

Owner

Phone

(602) 515-1068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Ron Waxman, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1932103496

  IL

  Medicare reassignment
• Adam R. Idsinga, D.C.

  • Chiropractor
  • Spanish Fork, UT
  • NPI 1841589660
  NPD (past)
• Andrea K Kurelowech, DC

  • Chiropractor
  • Phoenix, AZ
  • NPI 1285038547
  NPD (past)
• Tamika Dionne Sims, DC

  • Chiropractor
  • Durham, NC
  • NPI 1700222601
  NPD (past)

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1144457359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 E WASHINGTON ST",
            "address_2": "SUITE 204",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341052",
            "telephone_number": "602-321-7049",
            "fax_number": "602-253-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322841",
            "telephone_number": "773-927-1885",
            "fax_number": "773-927-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHIRO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WAXMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-515-1068",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Prelletz, PT, DPT
• Prem N Pahwa MD SC
• Komal Prem, M.D.
• Courtney Premer-Barragan, MD, PHD
• Premier Cardiovascular Institute Inc
• Premier Communications & Marketing LLC (Premier 1 Medical Transport)
• Premier Dental Care P.C
• Premier Dentistry at Millennium Park LLC
• Premier ER Services, LLC
• Premier Health Network LLC (Premier Urgent Care and Occ-Health Center)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.