Crescent Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CRESCENT CHIROPRACTIC PLLC

Practice address

16119 Weber Rd
Crest Hill, IL 60403-8742

Phone

(815) 556-8093

Fax

(815) 267-6355

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Amara BukhariNPI 1033773080

Title

Chiropractor/Owner

Phone

(815) 556-8093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amara Bukhari, D.C.

  • Chiropractor
  • Crest Hill, IL
  • NPI 1033773080
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1619580784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16119 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038742",
            "telephone_number": "815-556-8093",
            "fax_number": "815-267-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16119 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604038742",
            "telephone_number": "815-556-8093",
            "fax_number": "815-267-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "AMARA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "815-556-8093"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Crest Hill, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.