NPIMap

Organization Active NPI

Sayre Chiropractic Wellness Center LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1205258761
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-005696 Issued in IL
Legal business name
SAYRE CHIROPRACTIC WELLNESS CENTER LTD
Practice address
200 E 75TH St
Chicago, IL 60619-2297
Phone
(773) 874-2225
Fax
(773) 874-1862
NPI assigned
Jan 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Authorized official

Name
Dr. Bruce Abbott Sayre, D.C.
Title
President
Phone
(773) 874-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-005696 IL Primary

Addresses

Primary practice location

200 E 75TH St
Chicago, IL 60619-2297

Mailing address

200 E 75TH St
Chicago, IL 60619-2297
Phone (773) 874-2225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1205258761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192297",
            "telephone_number": "773-874-2225",
            "fax_number": "773-874-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192297",
            "telephone_number": "773-874-2225",
            "fax_number": "773-874-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAYRE CHIROPRACTIC WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ABBOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-874-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.