Northwest Chiropractix Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-008564 Issued in IL

Legal business name

NORTHWEST CHIROPRACTIX INC.

Practice address

3043 W Fullerton Ave
Chicago, IL 60647-2807

Phone

(773) 862-3180

Fax

(773) 661-0300

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Rehan A Siddiqui, DCNPI 1831246230

Title

Owner

Phone

(773) 862-3180

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Rehan Siddiqui, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1831246230
  Medicare reassignment NPD Authorized official
• Victor Frank Spatafora, DOCTOR OF PSYCHOLOGY

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1104053826
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1487701892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472807",
            "telephone_number": "773-862-3180",
            "fax_number": "773-661-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472807",
            "telephone_number": "773-862-3180",
            "fax_number": "773-661-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CHIROPRACTIX INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "REHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-862-3180",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "0001622785",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwest Advanced Surgical Associates, SC
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• Northwest Anesthesiologists, S.C.
• Northwest Chicago Medical LTD
• Northwest Chicago Primary Care SC
• Northwest Dentistry
• Northwest ENT Associates, S.C.
• Northwest General Surgeons LTD
• Northwest Health Care, LTD
• Northwest Home Care, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.