Chinatown Chiropractic Clinic Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006430 Issued in IL

Legal business name

CHINATOWN CHIROPRACTIC CLINIC CORP.

Practice address

2322 S Wentworth Ave
Chicago, IL 60616-2014

Phone

(312) 225-1929

NPI assigned

Oct 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edmund Ing, DCNPI 1750470845

Title

President

Phone

(312) 225-1929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Edmund Ing, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1750470845
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1376732883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162014",
            "telephone_number": "312-225-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162014",
            "telephone_number": "312-225-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINATOWN CHIROPRACTIC CLINIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-21",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "ING",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-225-1929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammantha Chin, PSY.D.
• Scott Nelson Chin, O.D.
• Tiffany Chin, LSW
• Walker Chin, PHARMD
• China Medicine Inc
• Chinatown Family Dental, LLC
• Chinatown Integrated Medicine LTD
• Chinatown Physical Medicine & Rehab LTD
• Ammie Lucero Chinchilla
• Raka Chindavong

• 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 Nov 12, 2008; 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.