Suburban X-Ray, LTD

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

060-006504 Issued in IL

Legal business name

SUBURBAN X-RAY, LTD

Practice address

3113 Calwagner St
Franklin Park, IL 60131-2622

Phone

(630) 529-0077

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Pamela A Ballard, DC

Title

President

Phone

(630) 529-0077

Specialties & licenses 1

Addresses

Tax ID family

Suburban X-Ray LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suburban Xray

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Medinah, IL
  • NPI 1467590471
  NPD tax ID

Locations

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1437435807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7N315 SYCAMORE AVE",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579799",
            "telephone_number": "630-529-0077",
            "fax_number": "630-529-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 CALWAGNER ST",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312622",
            "telephone_number": "630-529-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN X-RAY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-529-0077",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "060-006504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Franklin Park, IL
• Providers in Franklin Park, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.