Organization Active NPI

Kezon Chiropractic LLC

  • Chiropractor
  • Tinley Park, IL
National Provider Identifier
1487838363
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KEZON CHIROPRACTIC LLC
Practice address
6700 W. 167TH St. Ste. 2
Tinley Park, IL 60477-2859
Phone
(708) 429-6061
Fax
(708) 429-6092
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Daniel Peter Kezon Jr., D.C.
Title
Chiropractor
Phone
(708) 429-6061

Specialties & licenses 1

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

Addresses

Primary practice location

6700 W. 167TH St. Ste. 2
Tinley Park, IL 60477-2859

Mailing address

6700 W. 167TH St. Ste. 2
Tinley Park, IL 60477-2859
Phone (708) 429-6061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1487838363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 W. 167TH ST. STE. 2",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772859",
            "telephone_number": "708-429-6061",
            "fax_number": "708-429-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 W. 167TH ST. STE. 2",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772859",
            "telephone_number": "708-429-6061",
            "fax_number": "708-429-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEZON CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KEZON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "708-429-6061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.