Chad Larson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38007103 Issued in IL

Practice address

5214 N Western Ave
Ste 102
Chicago, IL 60625-2589

Phone

(773) 784-1000

Fax

(773) 784-1398

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1205921277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 N WESTERN AVE",
            "address_2": "STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252589",
            "telephone_number": "773-784-1000",
            "fax_number": "773-784-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 N WESTERN AVE",
            "address_2": "STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252589",
            "telephone_number": "773-784-1000",
            "fax_number": "773-784-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38007103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Larson
• Candice Larson, M.S.
• Caroline Ann Larson
• Carolyn Michelle Larson, SLP
• Catherine Rene Larson, ILTYPE 10, LBS1
• Daniel W Larson, LDN
• Danielle Nicole Larson
• Eric Larson, PH.D.
• Erika Kristen Larson, M.ED.
• Erin Larson, BSW

• 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 Aug 17, 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.

Verify at the official NPI Registry.