Organization Active NPI

Chicago Academy of Pain Management and Rehabilitation

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1639437031
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009793 Issued in IL
Legal business name
CHICAGO ACADEMY OF PAIN MANAGEMENT AND REHABILITATION
Practice address
200 E 75TH St
Chicago, IL 60619-2297
Phone
(773) 952-6120
Fax
(773) 952-6525
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Dr. Robert L James, D.C.
Title
Clinic Director
Phone
(773) 419-4214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038009793 IL Primary

Addresses

Primary practice location

200 E 75TH St
Chicago, IL 60619-2297

Mailing address

200 E 75TH St
Chicago, IL 60619-2297
Phone (773) 952-6120

National Provider Directory

National Provider Directory

Locations

200 E 75th St
Chicago, IL 60619
Phone (708) 371-9347

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1639437031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192297",
            "telephone_number": "773-952-6120",
            "fax_number": "773-952-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192297",
            "telephone_number": "773-952-6120",
            "fax_number": "773-952-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ACADEMY OF PAIN MANAGEMENT AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "773-419-4214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009793",
            "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 Apr 24, 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.