NPIMap

Organization Active NPI

Highland Park Chiropractic, SC

  • Chiropractor
  • Highland Park, IL
National Provider Identifier
1255638680
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007969 Issued in IL
Legal business name
HIGHLAND PARK CHIROPRACTIC, SC
Practice address
600 Central Ave
Suite 144
Highland Park, IL 60035-3211
Phone
(312) 337-4004
Fax
(312) 337-4060
NPI assigned
Feb 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Steven David Goodman, D.C.NPI 1245332840
Title
Director
Phone
(561) 213-7666

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-007969 IL Primary

Addresses

Primary practice location

600 Central Ave
Suite 144
Highland Park, IL 60035-3211

Mailing address

1 E Delaware PL
Suite 302
Chicago, IL 60611-1449
Phone (312) 543-4492

National Provider Directory

National Provider Directory

Locations

1 E Delaware Pl
Ste 302
Chicago, IL 60611
Phone (312) 337-4004

Practitioners & affiliated clinicians

Practitioners 2

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": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1255638680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL",
            "address_2": "SUITE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606111449",
            "telephone_number": "312-543-4492",
            "fax_number": "312-337-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CENTRAL AVE",
            "address_2": "SUITE 144",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353211",
            "telephone_number": "312-337-4004",
            "fax_number": "312-337-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK CHIROPRACTIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-213-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.