Crosstown Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011645 Issued in IL

Legal business name

CROSSTOWN CHIROPRACTIC LLC

Practice address

3649 N Kedzie Ave
Chicago, IL 60618-4513

Phone

(773) 961-8970

Fax

(773) 961-8951

NPI assigned

Jan 4, 2016

Organization subpart

No

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

Authorized official

Name

Michael Aho, D.C.NPI 1962727578

Title

Owner

Phone

(773) 961-8970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Michael Scott Aho, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1962727578
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Elaine Shevokas, D.C.

  • Chiropractor
  • Munster, IN
  • NPI 1255656534

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1417313636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184513",
            "telephone_number": "773-961-8970",
            "fax_number": "773-961-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184513",
            "telephone_number": "773-961-8970",
            "fax_number": "773-961-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSTOWN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "AHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-961-8970",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick C Cross
• Rebecca K Cross, M.D.
• Kelly Lee Crossley, DPT
• Crossover Health Medical Group
• Crossroads Speech Therapy P.C.
• Milo Crosswhite
• Alexia Croteau-Chonka, DACM
• Charles Anthony Crotteau, M.D.
• Crotty Pediatrics, LLC
• Daniel Jay Crotty

• 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 Jan 4, 2016; 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.