Smith Chiropractic Clinic LTD

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

038.005471 Issued in IL

Legal business name

SMITH CHIROPRACTIC CLINIC LTD

Practice address

442 Sunnyside Ave
Wheaton, IL 60187-5006

Phone

(630) 517-8670

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Randall Smith

Title

Doctor

Phone

(630) 517-8670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1558635797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 SUNNYSIDE AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 SUNNYSIDE AVE",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875006",
            "telephone_number": "630-517-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-517-8670",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "038.005471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelika Skubisz, APRN
• Mari Helen Skura, MA
• Issam Y Smeir, M.A
• Stephanie Smeir, PSY.D.
• Smile More Dental II Corp
• Abigail Smith
• Amy Smith
• Brielle Smith, LMFT
• Casey Smith, OTR/L
• Chase Smith

• Point of Service in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Point of Service in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.