Greenwood Regenerative Medicine S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREENWOOD REGENERATIVE MEDICINE S.C.

Practice address

11001 S Kedzie Ave
Chicago, IL 60655-2221

Phone

(773) 585-5550

Fax

(773) 585-1061

NPI assigned

Mar 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hausch, DC

Title

Owner

Phone

(630) 200-1051

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1659028439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552221",
            "telephone_number": "773-585-5550",
            "fax_number": "773-585-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552221",
            "telephone_number": "773-585-5550",
            "fax_number": "773-585-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD REGENERATIVE MEDICINE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "HAUSCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-200-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota John Greenwalt, DPT
• Ashley Greenway, PA
• Kristian Shumate Greenwell
• Greenwood Family Dentistry, P.C.
• Greenwood Medical Corp SC
• Greenwood Spine Care PLLC
• Brian T Greenwood, LCSW
• Corryn Siegel Greenwood, MD
• Julia Greenwood
• Megan Samantha Greenwood, PT, DPT, MSPT, NCS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.