Active NPI
Lincoln Park Chiropractic, PC
- Sports Physician Chiropractor
- Chicago, IL
National Provider Identifier
1205059912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38-007442
- Legal business name
- LINCOLN PARK CHIROPRACTIC, PC
- Practice address
- 2202 N Lincoln Ave
Suite 1
Chicago, IL 60614-7170 - Phone
- (773) 248-2790
- Fax
- (773) 248-2058
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peter F. Zid, D.C.
- Title
- Owner
- Phone
- (773) 248-2790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38-007442 | IL | Primary |
Addresses
Primary practice location
2202 N Lincoln Ave
Suite 1
Chicago, IL 60614-7170
Mailing address
2202 N Lincoln Ave
Suite 1
Chicago, IL 60614-7170
Phone (773) 248-2790
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1205059912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 N LINCOLN AVE",
"address_2": "SUITE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147170",
"telephone_number": "773-248-2790",
"fax_number": "773-248-2058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N LINCOLN AVE",
"address_2": "SUITE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606147170",
"telephone_number": "773-248-2790",
"fax_number": "773-248-2058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN PARK CHIROPRACTIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "ZID",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-248-2790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "38-007442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Lincoln Healthcare Inc
- Lincoln Medical Center, PC
- Lincoln Park Cardiovascular and Thoracic Surgeons, SC
- Lincoln Park Center for Dental Anesthesia
- Lincoln Park Chiropractic, LLC
- Lincoln Park Dental Care LTD
- Lincoln Park Dental Specialists
- Lincoln Park Dialysis Services Inc
- Lincoln Park Dialysis Services Inc
- Lincoln Park Dialysis Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.