NPIMap

Organization Active NPI

Chicago Chiropractic Associates LTD

Doing business as Parkway Chiropractic Center

  • Chiropractor
  • Park Ridge, IL
National Provider Identifier
1538422340
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005202 Issued in IL
Legal business name
CHICAGO CHIROPRACTIC ASSOCIATES LTD
Doing business as
Parkway Chiropractic Center
Practice address
835 W Touhy Ave
Suite B
Park Ridge, IL 60068-3351
Phone
(847) 696-0040
Fax
(847) 696-2519
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Robert D Peck, D.C.
Title
President
Phone
(847) 696-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038005202 IL Primary

Addresses

Primary practice location

835 W Touhy Ave
Suite B
Park Ridge, IL 60068-3351

Mailing address

835 W Touhy Ave
Suite B
Park Ridge, IL 60068-3351
Phone (847) 696-0040

Other names 1

  • Parkway Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

835 W Touhy Ave
#B
Park Ridge, IL 60068
Phone (708) 696-0040

678 N Northwest Hwy
#C
Park Ridge, IL 60068
Phone (847) 653-6191

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": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1538422340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 W TOUHY AVE",
            "address_2": "SUITE B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683351",
            "telephone_number": "847-696-0040",
            "fax_number": "847-696-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W TOUHY AVE",
            "address_2": "SUITE B",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683351",
            "telephone_number": "847-696-0040",
            "fax_number": "847-696-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CHIROPRACTIC ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-696-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.