Lincoln Park Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011329 Issued in IL

Legal business name

LINCOLN PARK CHIROPRACTIC, LLC

Practice address

2202 N Lincoln Ave
Suite 1
Chicago, IL 60614-7170

Phone

(773) 248-2790

Fax

(773) 248-2058

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Brian D Marion, D.C., A.R.T.NPI 1770720013

Title

Chiropractic Physician

Phone

(248) 891-9099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Brian Marion, D.C., A.R.T.

  • Chiropractor
  • Chicago, IL
  • NPI 1770720013
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1497995211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147170",
            "telephone_number": "773-248-2790",
            "fax_number": "773-248-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N LINCOLN AVE",
            "address_2": "SUITE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147170",
            "telephone_number": "773-248-2790",
            "fax_number": "773-248-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "MARION",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "248-891-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., A.R.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Health & Wellness Center, LTD.
• Lincoln Healthcare Inc
• Lincoln Medical Center, PC
• Lincoln Park Cardiovascular and Thoracic Surgeons, SC
• Lincoln Park Center for Dental Anesthesia
• Lincoln Park Chiropractic, PC
• Lincoln Park Dental Care LTD
• Lincoln Park Dental Specialists
• Lincoln Park Dialysis Services Inc
• Lincoln Park Dialysis Services 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 Sep 26, 2014; 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.