Active NPI
Omotayo Asunmo, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1215375829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038012367
- Practice address
- 2334 S Michigan Ave
Chicago, IL 60616-2105 - Phone
- (312) 225-5550
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012367 | IL | Primary |
Addresses
Primary practice location
2334 S Michigan Ave
Chicago, IL 60616-2105
Mailing address
PO Box 9000
Naperville, IL 60567-9000
Phone (312) 225-5421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038012367 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health on Earth of Naperville, LLC | Chiropractor | Past | Accepting new patients |
| Health on Earth Wellness Centers South Loop, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Naperville, IL
- NPI 1992048540
-
- Chiropractor
- Chicago, IL
- NPI 1982909958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1215375829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9000",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605679000",
"telephone_number": "312-225-5421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162105",
"telephone_number": "312-225-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASUNMO",
"first_name": "OMOTAYO",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038012367",
"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 Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.