Organization Active NPI

Mt Prospect Medical SC

  • Chiropractor
  • Mount Prospect, IL
National Provider Identifier
1427308394
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
042620036 Issued in IL
Legal business name
MT PROSPECT MEDICAL SC
Practice address
301 E Rand Rd
Mount Prospect, IL 60056-6089
Phone
(847) 708-6600
Fax
(866) 652-4523
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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

Authorized official

Name
Kevin J Oztekin, D.C.
Title
Owner
Phone
(847) 708-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 042620036 IL Primary

Addresses

Primary practice location

301 E Rand Rd
Mount Prospect, IL 60056-6089

Mailing address

301 E Rand Rd
Mount Prospect, IL 60056-6089
Phone (847) 708-6600

National Provider Directory

National Provider Directory

Locations

1100 W Northwest Hwy
Ste 208
Mount Prospect, IL 60056
Phone (847) 708-6600

301 E Rand Rd
Mt Prospect, IL 60056
Phone (847) 398-1775

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1427308394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E RAND RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566089",
            "telephone_number": "847-708-6600",
            "fax_number": "866-652-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E RAND RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566089",
            "telephone_number": "847-708-6600",
            "fax_number": "866-652-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PROSPECT MEDICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "OZTEKIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-708-6600",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042620036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.