Active NPI
Yamada Chiropractic Clinic, P.C.
- Health Service Clinic/Center
- Roselle, IL
National Provider Identifier
1518394394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 038012306
- Legal business name
- YAMADA CHIROPRACTIC CLINIC, P.C.
- Practice address
- 116 S Prospect St
Roselle, IL 60172-2049 - Phone
- (630) 307-1150
- NPI assigned
- Oct 10, 2013
- Last updated
- Oct 10, 2013
- 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. Youko Yamada, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (630) 307-1150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 038012306 | IL | Primary |
Addresses
Primary practice location
116 S Prospect St
Roselle, IL 60172-2049
Mailing address
116 S Prospect St
Roselle, IL 60172-2049
Phone (630) 307-1150
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, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Roselle, IL
- NPI 1548349277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381363200000",
"number": "1518394394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S PROSPECT ST",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722049",
"telephone_number": "630-307-1150",
"fax_number": "630-307-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S PROSPECT ST",
"city": "ROSELLE",
"state": "IL",
"postal_code": "601722049",
"telephone_number": "630-307-1150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YAMADA CHIROPRACTIC CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-10",
"last_updated": "2013-10-10",
"status": "A",
"authorized_official_last_name": "YAMADA",
"authorized_official_first_name": "YOUKO",
"authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
"authorized_official_telephone_number": "630-307-1150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "038012306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.