Yamada Chiropractic Clinic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010412 Issued in IL

Legal business name

YAMADA CHIROPRACTIC CLINIC, P.C.

Practice address

116 S Prospect St
Roselle, IL 60172-2049

Phone

(630) 307-1150

Fax

(630) 307-3536

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Yoko Yamada

Title

Secretary

Phone

(630) 899-9436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1457519670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S PROSPECT ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722049",
            "telephone_number": "630-307-1150",
            "fax_number": "630-307-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S PROSPECT ST",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722049",
            "telephone_number": "630-307-1150",
            "fax_number": "630-307-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMADA CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "YAMADA",
        "authorized_official_first_name": "YOKO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-899-9436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Roselle, IL
• Providers in Roselle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.