NPIMap

Organization Active NPI

Loop Chiropractic & Sports Injury Center

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1437539400
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038012805 Issued in IL
Legal business name
LOOP CHIROPRACTIC & SPORTS INJURY CENTER
Practice address
19 S la Salle St
Suite 503
Chicago, IL 60603-1401
Phone
(312) 236-9355
Fax
(312) 236-9301
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Authorized official

Name
Dr. Alden Clendenin, D.C.
Title
Owner/Clinic Director
Phone
(312) 236-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 038012805 IL Primary

Addresses

Primary practice location

19 S la Salle St
Suite 503
Chicago, IL 60603-1401

Mailing address

19 S la Salle St
Suite 503
Chicago, IL 60603-1401
Phone (312) 236-9355

National Provider Directory

National Provider Directory
Tax ID family
Loop Chiropractic Sports Injury Center2 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.

Locations

19 S La Salle St
Ste 503
Chicago, IL 60603
Phone (312) 236-9355

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1437539400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S LA SALLE ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031401",
            "telephone_number": "312-236-9355",
            "fax_number": "312-236-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S LA SALLE ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031401",
            "telephone_number": "312-236-9355",
            "fax_number": "312-236-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOP CHIROPRACTIC & SPORTS INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "312-236-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038012805",
            "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 Jun 4, 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.