Christopher Chalk, S.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036097622 Issued in IL

Legal business name

CHRISTOPHER CHALK, S.C.

Practice address

1820 Windsor Rd
Ste.a
Loves Park, IL 61111-4271

Phone

(815) 986-4411

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Scott Chalk, DC

Title

President

Phone

(815) 986-4411

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1275772154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "STE.A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 WINDSOR RD",
            "address_2": "STE.A",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114271",
            "telephone_number": "815-986-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER CHALK, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "CHALK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-986-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038006422",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036097622",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038006422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ting-Yueh Chen, MD
• Elena Cheptene
• Sung Ling Chou, M.D.
• Chris Scott Wellness
• Nellie Christ, D.C.
• Paul Cichon, PHARMD
• City of Loves Park
• Daniel B Claunch, CRNA
• Clinic of Psychiatric Care
• Cole Vision Corporation

• General Practice Physician in Loves Park, IL
• Providers in Loves Park, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; 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.