Organization Active NPI

Oswego Family Chiropractic Center, P.C.

  • Chiropractor
  • Oswego, IL
National Provider Identifier
1396878161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38008826 Issued in IL
Legal business name
OSWEGO FAMILY CHIROPRACTIC CENTER, P.C.
Practice address
1114 Douglas Rd
Oswego, IL 60543-9040
Phone
(630) 554-9323
Fax
(630) 554-9328
NPI assigned
Mar 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tara L Worron, D.C.NPI 1902804255
Title
President
Phone
(630) 554-9323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38008826 IL Primary

Addresses

Primary practice location

1114 Douglas Rd
Oswego, IL 60543-9040

Mailing address

1114 Douglas Rd
Oswego, IL 60543-9040
Phone (630) 554-9323

Other identifiers 1

IdentifierTypeStateIssuer
1902804255OtherILNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

1114 Douglas Rd
Oswego, IL 60543
Phone (630) 465-8529

1144 Douglas Rd
Oswego, IL 60543
Phone (630) 554-9323

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396878161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439040",
            "telephone_number": "630-554-9323",
            "fax_number": "630-554-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSWEGO FAMILY CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORRON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-554-9323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38008826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1902804255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • 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.