Active NPI
Chiropractic Medicine & Associates of Dupage
- Occupational Health Chiropractor
- Wheaton, IL
National Provider Identifier
1508071135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Chiropractor
- License
- 038003478
- Legal business name
- CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE
- Practice address
- 1600 N Main St
Wheaton, IL 60187-3145 - Phone
- (630) 510-7774
- NPI assigned
- May 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Franklin W. Forman, DC
- Title
- President
- Phone
- (630) 510-7774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Chiropractor | 111NX0100X | 038003478 | IL | Primary |
Addresses
Primary practice location
1600 N Main St
Wheaton, IL 60187-3145
Mailing address
1984 Spring Green Dr
Wheaton, IL 60187-7254
Phone (630) 510-7774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548351216 | Other | NATIONAL PROV TYPE 1 ID | |
| 2290080 | Other | IL | IL BCBS NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chesterfield, MO
- NPI 1053450031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1508071135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1984 SPRING GREEN DR",
"city": "WHEATON",
"state": "IL",
"postal_code": "601877254",
"telephone_number": "630-510-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N MAIN ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601873145",
"telephone_number": "630-510-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC MEDICINE & ASSOCIATES OF DUPAGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "FORMAN",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-510-7774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NX0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Occupational Health",
"state": "IL",
"license": "038003478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROV TYPE 1 ID",
"identifier": "1548351216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL BCBS NUMBER",
"identifier": "2290080",
"state": "IL"
}
],
"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 Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.