Chiropractic and Acupuncture Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005366 Issued in IL

Legal business name

CHIROPRACTIC AND ACUPUNCTURE CENTER INC

Practice address

2604 Dempster St
Suite 304
Park Ridge, IL 60068-8412

Phone

(847) 635-8080

Fax

(847) 390-8080

NPI assigned

Jul 30, 2007

Last updated

Mar 30, 2023By 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

Kevin Patrick MooreNPI 1558432831

Title

President/Owner

Phone

(847) 635-8080

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Patrick Moore, D.C.

  • Chiropractor
  • Park Ridge, IL
  • NPI 1558432831
  Medicare reassignment Care Compare group NPD Authorized official
• Manol Atanassov, DC

  • Chiropractor
  • Glenview, IL
  • NPI 1407625486
  Medicare reassignment Care Compare group NPD
• Pamela Norley, D.C.

  • Chiropractor
  • Lake Villa, IL
  • NPI 1801010665
  NPD (past)

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1649460270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "SUITE 304",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-635-8080",
            "fax_number": "847-390-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST",
            "address_2": "SUITE 304",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688412",
            "telephone_number": "847-635-8080",
            "fax_number": "847-390-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC AND ACUPUNCTURE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-635-8080"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "131172",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "016-36062",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Chris Chiganos Jr., M.D., PH.D.
• Children's Urology Health Partners
• David Tian Chin, M.D.
• Kristy Chin
• Sophia Chin, M.D.
• Chiropractic Physicians of Park Ridge
• Erin Renee Chiseri, M.A. CCC- SLP
• Timothy G Chiu, DC
• Michele E. Cho-Dorado, M.D.
• Eric Cho, MD

• Chiropractor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.