Organization Active NPI

Bone and Joint Clinic

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1407246515
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BONE AND JOINT CLINIC
Practice address
4334 W 63Rd St
Chicago, IL 60629-5039
Phone
(773) 615-9446
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Thomas Dzielawski, D.C
Title
Owner
Phone
(773) 615-9446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4334 W 63Rd St
Chicago, IL 60629-5039

Mailing address

4334 W 63Rd St
Chicago, IL 60629-5039
Phone (773) 615-9446

National Provider Directory

National Provider Directory

Locations

4334 W 63rd St
Chicago, IL 60629
Phone (773) 615-9446

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1407246515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295039",
            "telephone_number": "773-615-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295039",
            "telephone_number": "773-615-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE AND JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "DZIELAWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-615-9446",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.