Organization Active NPI

Lucas Chiropractic Center S C

  • Chiropractor
  • Palos Heights, IL
National Provider Identifier
1245422153
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006097 Issued in IL
Legal business name
LUCAS CHIROPRACTIC CENTER S C
Practice address
12413 S Harlem Avenue
Palos Heights, IL 60463
Phone
(708) 361-5455
Fax
(708) 361-2156
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. Ronald F Lucas, DC
Title
Owner
Phone
(708) 361-5455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038006097 IL Primary

Addresses

Primary practice location

12413 S Harlem Avenue
Palos Heights, IL 60463

Mailing address

12413 S Harlem Avenue
Palos Heights, IL 60463
Phone (708) 361-5455

National Provider Directory

National Provider Directory

Locations

12413 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 361-1133

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1245422153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 S HARLEM AVENUE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5455",
            "fax_number": "708-361-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 S HARLEM AVENUE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-361-5455",
            "fax_number": "708-361-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS CHIROPRACTIC CENTER S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-361-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.