Lifeclinic Chiropractic of Illinois LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.12283 Issued in IL

Legal business name

LIFECLINIC CHIROPRACTIC OF ILLINOIS LLC

Practice address

2000 Oakbrook Ctr
Oak Brook, IL 60523-9002

Phone

(630) 203-5458

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Reza P Alizadeh, DCNPI 1538214598

Title

Owner

Phone

(651) 690-0866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Landon Bruner, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1669958278
  Medicare reassignment Care Compare group NPD
• Jared Campbell, D.C.

  • Chiropractor
  • Skokie, IL
  • NPI 1710456389
  Medicare reassignment Care Compare group NPD
• John C Campione, DC

  • Chiropractor
  • Warrenville, IL
  • NPI 1174842934
  Medicare reassignment Care Compare group NPD
• Ashley Anne Daliege, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1487958294
  Medicare reassignment Care Compare group NPD
• Joshua Knicker

  • Chiropractor
  • Naperville, IL
  • NPI 1548877301
  Medicare reassignment Care Compare group NPD
• Evan Charles Mojica, DC

  • Chiropractor
  • Geneva, IL
  • NPI 1548861347
  Medicare reassignment Care Compare group NPD
• Reza Pour Alizadeh, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1538214598
  NPD (past) Authorized official
• Jason M Hall, ATC

  • Athletic Trainer
  • Romeoville, IL
  • NPI 1194847012
  NPD (past)

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627084800000",
    "number": "1346584513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170549",
            "telephone_number": "952-229-7558",
            "fax_number": "952-474-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OAKBROOK CTR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605239002",
            "telephone_number": "630-203-5458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Lakeville Drive",
            "address_purpose": "LOCATION",
            "city": "Romeoville",
            "state": "IL",
            "postal_code": "60446",
            "country_code": "US",
            "telephone_number": "952-229-7558",
            "fax_number": "952-474-1504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFECLINIC CHIROPRACTIC OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A",
        "authorized_official_last_name": "ALIZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-690-0866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.12283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyden Dupage Counseling Service
• Leyden Dupage Counseling Services
• Phillip Mark Licata, LCPC
• Dia Lieberenz, LCPC
• Life to the Fullest LLC
• Lifeflow LLC
• Lilly Tele Dermatology PLLC
• Dana Marie Lingle, OTRL CHT
• Live Love and Growth
• Melanie Lynn Lobraco, PSY.D.

• Chiropractor in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.