Optimum Chiropractic Center, S.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

0380112233 Issued in IL

Legal business name

OPTIMUM CHIROPRACTIC CENTER, S.C.

Practice address

1013 Audubon LN
Aurora, IL 60506-8853

Phone

(815) 230-0847

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Oki Kim Villarreal, DC, BSEENPI 1225285638

Title

President

Phone

(312) 218-0087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Oki Kim Villarreal, DC, BSEE

  • Chiropractor
  • Aurora, IL
  • NPI 1225285638
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1487801890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 AUDUBON LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605068853",
            "telephone_number": "815-230-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 AUDUBON LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605068853",
            "telephone_number": "815-230-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "OKI",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-218-0087",
        "authorized_official_credential": "DC, BSEE"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "0380112233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Open Door Clinic
• Open Door Clinic
• Taylor Opsahl
• Optima Oral Systemic Solutions LLC
• Optimal Physical Therapy and Wellness Inc
• Optimus Labs LLC
• Optum Biometrics, Inc.
• Troy Michael Oracko, DMD
• Orbit Medical of Naperville LLC
• Orchard Natural Medicine, PC

• Preferred Provider Organization in Aurora, IL
• Providers in Aurora, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.