Jeffrey E Forzley DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005323 Issued in IL

Legal business name

JEFFREY E FORZLEY DC PC

Doing business as

Forzley Chiropractic

Practice address

1192 Walter St
Suite C
Lemont, IL 60439-2905

Phone

(630) 257-0550

Fax

(630) 257-0555

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Edward Forzley, D.C.NPI 1932235090

Title

Owner

Phone

(630) 257-0550

Specialties & licenses 1

Addresses

Other names 1

• Forzley Chiropractic Doing business as

Practitioners 1

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

• Jeffrey Edward Forzley, D.C.

  • Chiropractor
  • Lemont, IL
  • NPI 1932235090
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1205040029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 WALTER ST",
            "address_2": "SUITE C",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392905",
            "telephone_number": "630-257-0550",
            "fax_number": "630-257-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 WALTER ST",
            "address_2": "SUITE C",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392905",
            "telephone_number": "630-257-0550",
            "fax_number": "630-257-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E FORZLEY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "FORZLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-257-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forzley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.