Greenwood Medical Corp SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006677 Issued in IL

Legal business name

GREENWOOD MEDICAL CORP SC

Practice address

11001 S. Kedzie Avenue
Chicago, IL 60655

Phone

(773) 239-7777

Fax

(773) 239-5787

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Joellen Majka

Title

Office Manager

Phone

(773) 239-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1346453719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 S. KEDZIE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-239-7777",
            "fax_number": "773-239-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 S. KEDZIE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60655",
            "telephone_number": "773-239-7777",
            "fax_number": "773-239-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD MEDICAL CORP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "MAJKA",
        "authorized_official_first_name": "JOELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-239-7777"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21623172",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven R Greenwald, M.D.
• Dakota John Greenwalt, DPT
• Ashley Greenway, PA
• Kristian Shumate Greenwell
• Greenwood Family Dentistry, P.C.
• Greenwood Regenerative Medicine S.C.
• Greenwood Spine Care PLLC
• Brian T Greenwood, LCSW
• Corryn Siegel Greenwood, MD
• Julia Greenwood

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.