Koehler Chiropractic Center PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038-005194 Issued in IL

Legal business name

KOEHLER CHIROPRACTIC CENTER PC

Practice address

4236 N Cicero Ave
Chicago, IL 60641-1605

Phone

(773) 545-3700

Fax

(773) 545-0012

NPI assigned

Jun 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael Koehler, D.C.

Title

President

Phone

(773) 545-3700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1568690717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411605",
            "telephone_number": "773-545-3700",
            "fax_number": "773-545-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411605",
            "telephone_number": "773-545-3700",
            "fax_number": "773-545-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEHLER CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-545-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038-005194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anuradha Koduri, M.D.
• Priyadarshini Koduri, M.D.
• Pramoda Koduru, M.D
• Koebers Prosthetic & Orthotic Lab Inc.
• Melissa Beth Koehl, PT
• Christina Mary Koehler
• Emily D Koehler, LCSW
• Irmgard Kilb Koehler, MD
• Laura Dawn Koehler, PSYD
• Michael Koehler, D.C.

• Preferred Provider Organization in Chicago, IL
• Providers in Chicago, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.