Organization Active NPI

Northcenter Chiropractic Corporation

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1316674468
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHCENTER CHIROPRACTIC CORPORATION
Practice address
1820 W Irving Park Rd Ste 200
Chicago, IL 60613-2406
Phone
(773) 316-2400
Fax
(773) 313-3538
NPI assigned
Aug 8, 2022
Last updated
Aug 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Dr. Daniel Jacobazzi, DC
Title
Director
Phone
(773) 316-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1820 W Irving Park Rd Ste 200
Chicago, IL 60613-2406

Mailing address

3232 W Wilson Ave Unit 1
Chicago, IL 60625-4411
Phone (773) 316-2400

National Provider Directory

National Provider Directory

Locations

1820 W Irving Park Rd
Ste 200
Chicago, IL 60613
Phone (773) 316-2400

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1316674468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 W WILSON AVE UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254411",
            "telephone_number": "773-316-2400",
            "fax_number": "773-313-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W IRVING PARK RD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132406",
            "telephone_number": "773-316-2400",
            "fax_number": "773-313-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCENTER CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "JACOBAZZI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-316-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.