The Doctors Inn

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE DOCTORS INN

Practice address

12337 S Route 59
Suite 119
Plainfield, IL 60585-4625

Phone

(815) 254-0044

Fax

(815) 254-0880

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Mark Cohen, D.C.NPI 1265495840

Title

President

Phone

(815) 254-0044

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mark Steven Cohen, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1265495840
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1265644157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12337 S ROUTE 59",
            "address_2": "SUITE 119",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854625",
            "telephone_number": "815-254-0044",
            "fax_number": "815-254-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12337 S ROUTE 59",
            "address_2": "SUITE 119",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605854625",
            "telephone_number": "815-254-0044",
            "fax_number": "815-254-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DOCTORS INN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-254-0044",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD",
            "identifier": "9932222",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "DE4564",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.