Organization Active NPI

Aleksandr Naroditsky, D.C.

  • Rehabilitation Chiropractor
  • Wheeling, IL
National Provider Identifier
1396964474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ALEKSANDR NARODITSKY, D.C.
Practice address
401 S Milwaukee Ave
Sute 220
Wheeling, IL 60090-5070
Phone
(847) 541-7933
Fax
(847) 541-7934
NPI assigned
Apr 25, 2007
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
Aleksandr Naroditsky, D.C.NPI 1336259282
Title
President
Phone
(847) 541-7933

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X IL Primary

Addresses

Primary practice location

401 S Milwaukee Ave
Sute 220
Wheeling, IL 60090-5070

Mailing address

2549 Waukegan Rd
PMB 187
Bannockburn, IL 60015-1569
Phone (847) 541-7933

Other identifiers 1

IdentifierTypeStateIssuer
0001627416OtherILBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396964474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 WAUKEGAN RD",
            "address_2": "PMB 187",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151569",
            "telephone_number": "847-541-7933",
            "fax_number": "847-541-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MILWAUKEE AVE",
            "address_2": "SUTE 220",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600905070",
            "telephone_number": "847-541-7933",
            "fax_number": "847-541-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEKSANDR NARODITSKY, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NARODITSKY",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-541-7933",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001627416",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, 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.