Katie Smoron LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KATIE SMORON LLC

Doing business as

Chicago Craniofacial Pain & Rehabilitation

Practice address

401 W Prospect Ave
Mount Prospect, IL 60056-3031

Phone

(847) 255-2528

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Smoron, DCNPI 1205542487

Title

Doctor/Owner

Phone

(847) 255-2528

Specialties & licenses 1

Addresses

Other names 1

• Chicago Craniofacial Pain & Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Katherine Smoron, DC

  • Chiropractor
  • Mount Prospect, IL
  • NPI 1205542487
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1144927138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563031",
            "telephone_number": "847-255-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W PROSPECT AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563031",
            "telephone_number": "847-255-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE SMORON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SMORON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "847-255-2528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Craniofacial Pain & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kana Yajima DDS
• Jasmine Kanappilly, APN-CNP
• Jennifer Kannookaden
• Jessica Kantoch
• Kathy Pawlksienica DDS PC Dba Prospect Dental
• Keller Orthotics Inc
• Vincent J Kelley, LCSW
• Kenneth Young Center
• Kenneth Young Center
• Phyllis Kerendian, M.A.T., CCC

• Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.