Organization Active NPI

Los Quiropracticos, LLC

  • Chiropractor
  • Cicero, IL
National Provider Identifier
1649457615
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
24189 Issued in IL
Legal business name
LOS QUIROPRACTICOS, LLC
Practice address
4707 W Cermak Rd
Cicero, IL 60804-2508
Phone
(708) 780-1280
Fax
(708) 780-1237
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mr. Michael Shoar, D.C.
Title
Owner
Phone
(805) 487-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 24189 IL Primary

Addresses

Primary practice location

4707 W Cermak Rd
Cicero, IL 60804-2508

Mailing address

PO Box 5603
Oxnard, CA 93031
Phone (805) 487-4043

National Provider Directory

National Provider Directory
Tax ID family
Los Quiropracticos LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4707 W Cermak Rd
Cicero, IL 60804
Phone (708) 780-1280

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1649457615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5603",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "93031",
            "telephone_number": "805-487-4043",
            "fax_number": "805-487-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "708-780-1280",
            "fax_number": "708-780-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS QUIROPRACTICOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SHOAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-487-4043",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "24189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.