Active NPI
Halo Medical Professionals SC.
Doing business as Halo Medical Professionals
- Rehabilitation Chiropractor
- Chicago, IL
National Provider Identifier
1508356072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038007303
- 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. ROBERTSON
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 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
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.