NPIMap

Organization Active NPI

Elmhurst Olympic Service Corporation

  • Chiropractor
  • Elmhurst, IL
National Provider Identifier
1174696959
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELMHURST OLYMPIC SERVICE CORPORATION
Practice address
533 S York Rd
Suite D
Elmhurst, IL 60126
Phone
(630) 833-4437
Fax
(630) 833-4438
NPI assigned
Nov 17, 2006
Last updated
Jan 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Michael CalcagnoNPI 1972613875
Title
Director
Phone
(630) 833-4437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

533 S York Rd
Suite D
Elmhurst, IL 60126

Mailing address

533 S York Rd
Suite D
Elmhurst, IL 60126
Phone (630) 833-4437

Other names 1

  • Olympic Chiropractic & Physical Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000656 IL Part B Supplier - Clinic/Group Practice 1052408747 Receives reassigned benefits from 11 practitioners
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

2333 N Harlem Ave
#100
Chicago, IL 60707
Phone (773) 637-2333

533 S York St
Elmhurst, IL 60126
Phone (630) 833-4437

533 S York St
Ste D
Elmhurst, IL 60126
Phone (630) 833-4437

533 S York St
Unit D
Elmhurst, IL 60126

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1174696959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S YORK RD",
            "address_2": "SUITE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-833-4437",
            "fax_number": "630-833-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S YORK RD",
            "address_2": "SUITE D",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-833-4437",
            "fax_number": "630-833-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST OLYMPIC SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "CALCAGNO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-833-4437"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Chiropractic & Physical Therapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Olympic Chiropractic & Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.