SBC Chiropractic Clinic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SBC CHIROPRACTIC CLINIC, INC

Practice address

325 N Milwaukee Ave
Suite B
Wheeling, IL 60090-3071

Phone

(847) 541-3456

Fax

(847) 541-3656

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Byung Kwan Chun, D.C.

Title

President

Phone

(847) 541-3456

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336361815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MILWAUKEE AVE",
            "address_2": "SUITE B",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903071",
            "telephone_number": "847-541-3456",
            "fax_number": "847-541-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N MILWAUKEE AVE",
            "address_2": "SUITE B",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903071",
            "telephone_number": "847-541-3456",
            "fax_number": "847-541-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBC CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_middle_name": "KWAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-541-3456",
        "authorized_official_name_prefix": "Dr.",
        "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": "BLUECROSS BLUE SHIELD",
            "identifier": "01635320",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.