Organization Active NPI

Bruene Chiropractic PC

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1598088643
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011623 Issued in IL
Legal business name
BRUENE CHIROPRACTIC PC
Practice address
2258 W Grand Ave Ste 411
Chicago, IL 60612-1512
Phone
(773) 661-2070
Fax
(773) 697-8795
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Dr. Adam Bruene, DCNPI 1932431210
Title
Owner/President
Phone
(773) 661-2070

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011623 IL Primary

Addresses

Primary practice location

2258 W Grand Ave Ste 411
Chicago, IL 60612-1512

Mailing address

2258 W Grand Ave
Chicago, IL 60612-1512
Phone (773) 661-2070

National Provider Directory

National Provider Directory

Locations

2258 W Grand Ave
Ste 411
Chicago, IL 60612
Phone (773) 661-2070

2835 N Sheffield Ave
Ste 411
Chicago, IL 60657
Phone (331) 215-4164

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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1598088643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 W GRAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121512",
            "telephone_number": "773-661-2070",
            "fax_number": "773-697-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 W GRAND AVE STE 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121512",
            "telephone_number": "773-661-2070",
            "fax_number": "773-697-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUENE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BRUENE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-661-2070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011623",
            "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 Sep 29, 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.