Organization Active NPI

Halo Medical Professionals SC.

Doing business as Halo Medical Professionals

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1508356072
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038007303 Issued in IL
Legal business name
HALO MEDICAL PROFESSIONALS SC.
Doing business as
Halo Medical Professionals
Practice address
10650 S Western Ave
Chicago, IL 60643
Phone
(773) 239-7740
Fax
(773) 239-7745
NPI assigned
May 10, 2018
Organization subpart
Yes
Parent organization
DR. FREDERIC L. ROBERTSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Authorized official

Name
Dr. Frederic L. Robertson, D.N./D.C.
Title
Chiropractor
Phone
(773) 239-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 038007303 IL Primary

Addresses

Primary practice location

10650 S Western Ave
Chicago, IL 60643

Mailing address

10650 S Western Ave
Chicago, IL 60643-3134
Phone (773) 239-7740

Other names 1

  • Halo Medical Professionals Doing business as

National Provider Directory

National Provider Directory
Part of
Halo Medical Professionals

Locations

10650 S Western Ave
Chicago, IL 60643
Phone (773) 237-7740

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1508356072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433134",
            "telephone_number": "773-239-7740",
            "fax_number": "773-239-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60643",
            "telephone_number": "773-239-7740",
            "fax_number": "773-239-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO MEDICAL PROFESSIONALS SC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. FREDERIC L. ROBERTSON",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "773-239-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.N./D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038007303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Medical Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.