Chislof Chiropractic Center, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038004506 Issued in IL

Legal business name

CHISLOF CHIROPRACTIC CENTER, P.C.

Practice address

7329 N Harlem Ave
Niles, IL 60714-4252

Phone

(847) 588-0800

Fax

(847) 588-0811

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ira Scott Chislof, D.C.NPI 1992896203

Title

President

Phone

(847) 588-0800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Ira Scott Chislof, DC

  • Chiropractor
  • Niles, IL
  • NPI 1992896203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1629297486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7329 N HARLEM AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144252",
            "telephone_number": "847-588-0800",
            "fax_number": "847-588-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7329 N HARLEM AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144252",
            "telephone_number": "847-588-0800",
            "fax_number": "847-588-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHISLOF CHIROPRACTIC CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "CHISLOF",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-588-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038004506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ira Scott Chislof, DC
• Kathryn Chleboun, PHARMD
• Jane C Choi
• Seong Wook Choi, D.C.
• Young Choi

• Medical Specialty Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.