Organization Active NPI

Chiro-Center PC

  • Chiropractor
  • Wheaton, IL
National Provider Identifier
1487660957
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006130 Issued in IL
Legal business name
CHIRO-CENTER PC
Practice address
55 E Loop Rd
Suite 203
Wheaton, IL 60189-1938
Phone
(630) 665-8688
Fax
(630) 665-4705
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Dr. Robbin Mitchell, D.C.NPI 1659345759
Title
Cheif Shareholder
Phone
(630) 665-8688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038006130 IL Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038006731 IL

Addresses

Primary practice location

55 E Loop Rd
Suite 203
Wheaton, IL 60189-1938

Mailing address

55 E Loop Rd
Suite 203
Wheaton, IL 60189-1938
Phone (630) 665-8688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000402 IL Part B Supplier - Clinic/Group Practice 3779580246 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

2323 Naperville Rd
Ste 180
Naperville, IL 60563
Phone (630) 665-8688

55 E Loop Rd
Ste 203
Wheaton, IL 60189
Phone (630) 665-8688

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1487660957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E LOOP RD",
            "address_2": "SUITE 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601891938",
            "telephone_number": "630-665-8688",
            "fax_number": "630-665-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E LOOP RD",
            "address_2": "SUITE 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601891938",
            "telephone_number": "630-665-8688",
            "fax_number": "630-665-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "CHEIF SHAREHOLDER",
        "authorized_official_telephone_number": "630-665-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006130",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.