Kemet Chiropractic & Wellness, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012249 Issued in IL

Legal business name

KEMET CHIROPRACTIC & WELLNESS, S.C.

Practice address

13011 S 104TH Ave
207
Palos Park, IL 60464-1506

Phone

(847) 456-2417

NPI assigned

Mar 15, 2013

Last updated

Jun 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brooklyn Washington, DC

Title

Provider

Phone

(847) 456-2417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1316288392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "address_2": "207",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 S 104TH AVE",
            "address_2": "207",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641506",
            "telephone_number": "847-456-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMET CHIROPRACTIC & WELLNESS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BROOKLYN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "847-456-2417",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A Johnson, PSY.D.
• Peter W Kakavas, M.D.
• Kalem Therapy PLLC
• Michael Eugene Kaplan, OTR/L
• Thomas Theodore Kason, M.D.
• Adrianne Kenny, RD, LDN
• Asad Khan, MD
• Jerry N King, M.D.
• Molly Kathleen Kirkwood, CNM
• Eileen Duggan Klinkert, D.T.

• Chiropractor in Palos Park, IL
• Providers in Palos Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.