Organization Active NPI

Landgrebe Chiropractic P.C.

  • Clinic/Center
  • Tinley Park, IL
National Provider Identifier
1528237294
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LANDGREBE CHIROPRACTIC P.C.
Practice address
6828 171St St
Suite B
Tinley Park, IL 60477-3724
Phone
(708) 429-4332
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Charles Michael Landgrebe, D.C.NPI 1427227776
Title
Chiropractor
Phone
(269) 861-1789

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

6828 171St St
Suite B
Tinley Park, IL 60477-3724

Mailing address

6828 171St St
Suite B
Tinley Park, IL 60477-3724
Phone (708) 429-4332

Other names 1

  • Landgrebe Chiropractic PC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080508000524 IL Part B Supplier - Clinic/Group Practice 5991884454 Receives reassigned benefits from 2 practitioners
Practice locations: Tinley Park, IL

National Provider Directory

National Provider Directory

Locations

6828 171st St
#B
Tinley Park, IL 60477

6828 171st St
Ste B
Tinley Park, IL 60477
Phone (269) 861-1789

Practitioners & affiliated clinicians

Practitioners 2

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1528237294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 171ST ST",
            "address_2": "SUITE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773724",
            "telephone_number": "708-429-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 171ST ST",
            "address_2": "SUITE B",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773724",
            "telephone_number": "708-429-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDGREBE CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "LANDGREBE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "269-861-1789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Landgrebe Chiropractic PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.