West Loop Chiropractic & Sports Injury Center LTD.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

038.008065 Issued in IL

Legal business name

WEST LOOP CHIROPRACTIC & SPORTS INJURY CENTER LTD.

Practice address

16 N Peoria St
Suite 101a
Chicago, IL 60607-2609

Phone

(312) 346-9355

Fax

(312) 346-9356

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alden Clendenin, D.C.

Title

Owner

Phone

(312) 346-9355

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1598021388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N PEORIA ST",
            "address_2": "SUITE 101A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072609",
            "telephone_number": "312-346-9355",
            "fax_number": "312-346-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N PEORIA ST",
            "address_2": "SUITE 101A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072609",
            "telephone_number": "312-346-9355",
            "fax_number": "312-346-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LOOP CHIROPRACTIC & SPORTS INJURY CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-346-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.008065",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038.008065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1093789216",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West End Dental
• West Grand Ave. Associates
• West Grand Clinic,LTD
• West Jackson CVS LLC
• West Loop Chiropractic
• West Loop Dental Associates, LTD.
• West Loop Family Dental LLC
• West Loop Medical Equipment and Supplies, Inc.
• West Loop Psychiatry, PLLC
• West Loop Smile Studio

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.