NPIMap

Organization Active NPI

Chicago Spine Institute PC

  • Rehabilitation Chiropractor
  • Lockport, IL
National Provider Identifier
1285879098
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CHICAGO SPINE INSTITUTE PC
Practice address
16622 W 159TH St Ste 500
Lockport, IL 60441-8015
Phone
(815) 838-7746
NPI assigned
Dec 8, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Loren Davis, D.C.NPI 1891917795
Title
President
Phone
(815) 838-7746

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
Rehabilitation Chiropractor 111NR0400X NU Primary

Addresses

Primary practice location

16622 W 159TH St Ste 500
Lockport, IL 60441-8015

Mailing address

16622 W 159TH St Ste 500
Lockport, IL 60441-8015
Phone (815) 838-7746

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1285879098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 W 159TH ST STE 500",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418015",
            "telephone_number": "815-838-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16622 W 159TH ST STE 500",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418015",
            "telephone_number": "815-838-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO SPINE INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-838-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.