Organization Active NPI

Serenity Family Chiropractic PLLC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1245050194
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SERENITY FAMILY CHIROPRACTIC PLLC
Practice address
6321 N Avondale Ave Ste A108
Chicago, IL 60631-1900
Phone
(224) 587-0129
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Erica Juris, DCNPI 1366095739
Title
Member
Phone
(224) 587-0129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

6321 N Avondale Ave Ste A108
Chicago, IL 60631-1900

Mailing address

6321 N Avondale Ave Ste A108
Chicago, IL 60631-1900
Phone (224) 587-0129

National Provider Directory

National Provider Directory

Locations

6321 N Avondale Ave
Ste A108
Chicago, IL 60631
Phone (224) 587-0129

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1245050194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE AVE STE A108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311900",
            "telephone_number": "224-587-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 N AVONDALE AVE STE A108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311900",
            "telephone_number": "224-587-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "JURIS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "224-587-0129",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 15, 2024; 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.