Midwest Sport and Spine Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012476 Issued in IL

Legal business name

MIDWEST SPORT AND SPINE INC

Practice address

730 N Franklin St
Suite 602
Chicago, IL 60654-3563

Phone

(312) 397-1179

Fax

(773) 337-9106

NPI assigned

Nov 21, 2015

Organization subpart

No

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

Authorized official

Name

Phoukhong Lamvichit, DC

Title

Owner

Phone

(312) 397-1179

Specialties & licenses 1

Addresses

Practitioners 1

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

• Roy D. Settergren, M.D.

  • Hospitalist Physician
  • Hinsdale, IL
  • NPI 1194055863

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1448064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1659745024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N FRANKLIN ST",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543563",
            "telephone_number": "312-397-1179",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N FRANKLIN ST",
            "address_2": "SUITE 602",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543563",
            "telephone_number": "312-397-1179",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST SPORT AND SPINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-21",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "LAMVICHIT",
        "authorized_official_first_name": "PHOUKHONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-397-1179",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Rehab Services, LLC
• Midwest Rehabilitation Group
• Midwest Scoliosis Care Centers
• Midwest Specialty Pharmacy LLC
• Midwest Spine Pain and Orthopedic Center LLC
• Midwest Therapy Providers LLC
• Midwestern Emergency Group LLC
• Midwestern Pulmonary Diagnostics, P.L.L.C.
• Midwestern States Movers LLC
• Joan C Miedema, M.D.

• 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 Feb 7, 2020; 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.