Champion Chiropractic PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHAMPION CHIROPRACTIC PC

Practice address

148 S Bloomingdale Rd Ste 107E
Bloomingdale, IL 60108-1491

Phone

(224) 520-3852

NPI assigned

Jul 2, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Musa AyyadNPI 1881219418

Title

President/Ceo

Phone

(224) 520-3852

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Musa Ayyad, MD, DC

  • Chiropractor
  • Valdosta, GA
  • NPI 1881219418
  NPD Authorized official

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1407473663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 SWALLOW AVE",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081369",
            "telephone_number": "224-520-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S BLOOMINGDALE RD STE 107E",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081491",
            "telephone_number": "224-520-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "AYYAD",
        "authorized_official_first_name": "MUSA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "224-520-3852",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Adult Healthcare SC
• Center for Integral Health, LLC
• Center for Integrative and Functional Health and Wellness LLC
• Central Dupage Health
• Jini Chacko
• Israella Chan, MD
• Kenny Chan, LPC
• Shefali Chandnani
• Amy Chang, O.D.
• Jennifer Jackman Charles, PSY.D.

• Clinic/Center in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.