Organization Active NPI

CHI-Town Spine and Sport PLLC

Doing business as Lincoln Square Chiropractic and Physical Therapy

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1639929276
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CHI-TOWN SPINE AND SPORT PLLC
Doing business as
Lincoln Square Chiropractic and Physical Therapy
Practice address
4610 N Western Ave
Chicago, IL 60625-2184
Phone
(773) 275-5031
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Jose Luis Ramirez, DC
Title
Owner
Phone
(773) 209-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4610 N Western Ave
Chicago, IL 60625-2184

Mailing address

4610 N Western Ave
Chicago, IL 60625-2184
Phone (773) 275-5031

Other names 1

  • Lincoln Square Chiropractic and Physical Therapy Doing business as

National Provider Directory

National Provider Directory

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": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1639929276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252184",
            "telephone_number": "773-275-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252184",
            "telephone_number": "773-275-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI-TOWN SPINE AND SPORT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-209-9394",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Square Chiropractic and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 26, 2024; 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.