Organization Active NPI

Chiropractic Resources PC

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1568664746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
CHIROPRACTIC RESOURCES PC
Practice address
2105 N Southport Ave
Suite 208
Chicago, IL 60614-4069
Phone
(773) 472-0560
Fax
(773) 472-0429
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Karl Bryan, D.C.NPI 1013929363
Title
Director
Phone
(773) 472-0560

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
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X IL Primary

Addresses

Primary practice location

2105 N Southport Ave
Suite 208
Chicago, IL 60614-4069

Mailing address

2105 N Southport Ave
Suite 208
Chicago, IL 60614-4069
Phone (773) 472-0560

National Provider Directory

National Provider Directory

Locations

2105 N Southport Ave
Unit 208
Chicago, IL 60614
Phone (773) 472-0560

Practitioners & affiliated clinicians

Practitioners 1

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": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568664746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 N SOUTHPORT AVE",
            "address_2": "SUITE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144069",
            "telephone_number": "773-472-0560",
            "fax_number": "773-472-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 N SOUTHPORT AVE",
            "address_2": "SUITE 208",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144069",
            "telephone_number": "773-472-0560",
            "fax_number": "773-472-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC RESOURCES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-472-0560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.