NPIMap

Organization Active NPI

University Village Chiropractic, L.L.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1528076270
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009492 Issued in IL
Legal business name
UNIVERSITY VILLAGE CHIROPRACTIC, L.L.C.
Practice address
1354 W Taylor St
Chicago, IL 60607-4754
Phone
(312) 733-8589
Fax
(312) 733-8533
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Dr. Salvatore Battaglia III, D.C.NPI 1912915752
Title
Co-Member
Phone
(312) 733-8589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-009507 IL
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-009492 IL Primary

Addresses

Primary practice location

1354 W Taylor St
Chicago, IL 60607-4754

Mailing address

1354 W Taylor St
Chicago, IL 60607-4754
Phone (312) 733-8589

Other identifiers 1

IdentifierTypeStateIssuer
01630306OtherILBCBSIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000241 IL Part B Supplier - Clinic/Group Practice 2466520689 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1354 W Taylor St
Chicago, IL 60607
Phone (312) 733-8589

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1528076270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074754",
            "telephone_number": "312-733-8589",
            "fax_number": "312-733-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074754",
            "telephone_number": "312-733-8589",
            "fax_number": "312-733-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY VILLAGE CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "CO-MEMBER",
        "authorized_official_telephone_number": "312-733-8589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009507",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01630306",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2022; 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.