Family Chiropractor, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006188 Issued in IL

Legal business name

FAMILY CHIROPRACTOR, INC

Doing business as

Family Chiropractor, Inc

Practice address

706 S Butterfield Rd
Mundelein, IL 60060-9458

Phone

(847) 362-8882

Fax

(847) 362-8889

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Christopher J Horak, D.C.NPI 1215030895

Title

Chiropractor

Phone

(847) 362-8882

Specialties & licenses 1

Addresses

Other names 1

• Family Chiropractor, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher John Horak, DC

  • Chiropractor
  • Mundelein, IL
  • NPI 1215030895
  Medicare reassignment NPD Authorized official
• Heather Mullen-Gaschler

  • Massage Therapist
  • Mundelein, IL
  • NPI 1184037160
  NPD

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1649599945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S BUTTERFIELD RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609458",
            "telephone_number": "847-362-8882",
            "fax_number": "847-362-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S BUTTERFIELD RD",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600609458",
            "telephone_number": "847-362-8882",
            "fax_number": "847-362-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CHIROPRACTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "HORAK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-362-8882",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractor, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.