NPIMap

Organization Active NPI

Pure Health Chiropractic LLC

  • Chiropractor
  • Oak Park, IL
National Provider Identifier
1245467299
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PURE HEALTH CHIROPRACTIC LLC
Doing business as
Pure Health Chiropractic LLC
Practice address
191 N Marion St
Oak Park, IL 60301-1492
Phone
(708) 407-1080
Fax
(708) 469-4207
NPI assigned
Jun 17, 2009
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Sarah Katherine Costianis, D.C.NPI 1225263247
Title
Owner
Phone
(708) 407-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

191 N Marion St
Oak Park, IL 60301-1492

Mailing address

191 N Marion St
Oak Park, IL 60301-1492
Phone (708) 407-1080

Other names 1

  • Pure Health Chiropractic LLC Doing business as

National Provider Directory

National Provider Directory

Locations

167 N Marion St
Oak Park, IL 60301
Phone (708) 383-5554

917 S Oak Park Ave
Ste A
Oak Park, IL 60304
Phone (708) 407-1080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1245467299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011492",
            "telephone_number": "708-407-1080",
            "fax_number": "708-469-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 N MARION ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011492",
            "telephone_number": "708-407-1080",
            "fax_number": "708-469-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "COSTIANIS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-407-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Health Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Health Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.