Active NPI
Alexander Michael Karban, DC
- Chiropractor
- Chicago, IL
National Provider Identifier
1578232179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013771
- Practice address
- 11422 S Western Ave
Chicago, IL 60643-4120 - Phone
- (773) 941-8276
- Fax
- (708) 377-5704
- NPI assigned
- Sep 8, 2021
- Last updated
- Sep 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013771 | IL | Primary |
Addresses
Primary practice location
11422 S Western Ave
Chicago, IL 60643-4120
Mailing address
6460 Double Eagle Dr Unit 608
Woodridge, IL 60517-1663
Phone (630) 649-2657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780116780 | Other | IL | DC |
| 1700182243 | Other | IL | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013771 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1578232179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 DOUBLE EAGLE DR UNIT 608",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171663",
"telephone_number": "630-649-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11422 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434120",
"telephone_number": "773-941-8276",
"fax_number": "708-377-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARBAN",
"first_name": "ALEXANDER",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-08",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC",
"identifier": "1780116780",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC",
"identifier": "1700182243",
"state": "IL"
}
],
"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 Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.