NPIMap

Organization Active NPI

Peterson Chiropractic Clinic SC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1477763183
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005934 Issued in IL
Legal business name
PETERSON CHIROPRACTIC CLINIC SC
Practice address
3044 W Peterson Ave
Chicago, IL 60659-3729
Phone
(773) 743-0228
Fax
(773) 743-0425
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Han K Cho, D.C.
Title
President
Phone
(773) 743-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038005934 IL Primary

Addresses

Primary practice location

3044 W Peterson Ave
Chicago, IL 60659-3729

Mailing address

3044 W Peterson Ave
Chicago, IL 60659-3729
Phone (773) 743-0228

National Provider Directory

National Provider Directory

Locations

3044 W Peterson Ave
Chicago, IL 60659
Phone (773) 743-0228

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1477763183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-743-0228",
            "fax_number": "773-743-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593729",
            "telephone_number": "773-743-0228",
            "fax_number": "773-743-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON CHIROPRACTIC CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-743-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005934",
            "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 May 30, 2013; 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.