Stephen Perry DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STEPHEN PERRY DC PC

Doing business as

Perry Chiropractic Center

Practice address

4 W Stephenson St
Freeport, IL 61032-4220

Phone

(815) 235-7825

Fax

(815) 235-1783

NPI assigned

Mar 24, 2008

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Raymond Perry, D.C.

Title

President/Chiropractor

Phone

(815) 235-7825

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perry Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1639341282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324220",
            "telephone_number": "815-235-7825",
            "fax_number": "815-235-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W STEPHENSON ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324220",
            "telephone_number": "815-235-7825",
            "fax_number": "815-235-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN PERRY DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "815-235-7825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380037461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Freeport, IL
• Providers in Freeport, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.