Chinatown Physical Medicine & Rehab LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-003513 Issued in IL

Legal business name

CHINATOWN PHYSICAL MEDICINE & REHAB LTD

Doing business as

Chinatown Square Ing Chiropractic

Practice address

2134 S Archer Ave Ste B
Chicago, IL 60616-1514

Phone

(312) 842-9831

Fax

(312) 842-1037

NPI assigned

May 10, 2007

Last updated

Nov 21, 2008By 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

Dr. Gregory Y Ing, D.C.

Title

Owner

Phone

(312) 842-9831

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Chinatown Square Ing Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1194939603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 S ARCHER AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514",
            "telephone_number": "312-842-9831",
            "fax_number": "312-842-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 S ARCHER AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514",
            "telephone_number": "312-842-9831",
            "fax_number": "312-842-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN PHYSICAL MEDICINE & REHAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "ING",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-842-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7818411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "647079",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632866",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinatown Square Ing Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chinatown Integrated Medicine LTD
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• Raka Chindavong
• Chindika Healthcare Inc.
• Chinese American Service League, Inc.
• Chinese American Service League, Inc.

• 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 Nov 21, 2008; 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.