Chicago Sports and Chiropractic Medicine, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042-618469 Issued in IL

Legal business name

CHICAGO SPORTS AND CHIROPRACTIC MEDICINE, SC

Practice address

3546 N Nora Ave
Chicago, IL 60634-3617

Phone

(773) 736-1181

Fax

(773) 736-1185

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Darren D Hancock, DC

Title

Owner-President

Phone

(773) 736-1181

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Virgilio Castillo, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1538190053
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1255367876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 N NORA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343617",
            "telephone_number": "773-736-1811",
            "fax_number": "773-736-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 N NORA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606343617",
            "telephone_number": "773-736-1181",
            "fax_number": "773-736-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2617 W Fletcher St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606187109",
            "country_code": "US",
            "telephone_number": "773-736-1181",
            "fax_number": "773-736-1185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO SPORTS AND CHIROPRACTIC MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "773-736-1181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042-618469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3546 N Nora Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606343617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chicago Speech Spot
• Chicago Speech Therapy
• Chicago Speech Therapy, PC
• Chicago Spinal Care LLC
• Chicago Spine and Sports, P.C.
• Chicago Sports and Spine, LLC
• Chicago Sports Clinic, Inc
• Chicago Sports Medicine Institute
• Chicago Sports Medicine LLC
• Chicago Star Dental PC

• 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 27, 2020; 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.