Imwc SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2142321 Issued in IL

Legal business name

IMWC SC

Practice address

1147 S Wabash Ave
Suite 250
Chicago, IL 60605-2346

Phone

(312) 235-0900

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jaquelyn Bitler, D.C.

Title

President

Phone

(312) 235-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1538435904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346",
            "telephone_number": "312-235-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMWC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "BITLER",
        "authorized_official_first_name": "JAQUELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-235-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "2142321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.