Oak Park Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OAK PARK CHIROPRACTIC, LLC

Practice address

1144 W Lake St
Ste 203
Oak Park, IL 60301-6705

Phone

(708) 660-9139

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jill M Dortch, DCNPI 1073533691

Title

Owner/Chiropractor

Phone

(708) 660-9139

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Jill Dortch, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1073533691
  Medicare reassignment NPD Authorized official
• Arian A Lecuona, D.C.

  • Rehabilitation Chiropractor
  • Oak Park, IL
  • NPI 1659796282
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1376724419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 W LAKE ST",
            "address_2": "STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-660-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 W LAKE ST",
            "address_2": "STE 203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-660-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "708-660-9139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oak Park Dental Studio
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• Chiropractor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.