Suburban Chiropractic-Lansing, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

038-007368 Issued in IL

Legal business name

SUBURBAN CHIROPRACTIC-LANSING, PC

Practice address

18525 Torrence Ave Ste F3
Lansing, IL 60438-2891

Phone

(708) 418-5505

Fax

(708) 418-5531

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Dr. Scott Yoder, DC

Title

Owner/President

Phone

(708) 418-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Kenneth Michael Martin, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1689872509
  NPD (past)
• T Scott Yoder, DC, CCSP

  • Sports Physician Chiropractor
  • Lansing, IL
  • NPI 1093828089
  NPD (past)

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1679743900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 TORRENCE AVE STE F3",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382891",
            "telephone_number": "708-418-5505",
            "fax_number": "708-418-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 TORRENCE AVE STE F3",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382891",
            "telephone_number": "708-418-5505",
            "fax_number": "708-418-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CHIROPRACTIC-LANSING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "708-418-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038-007368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "21622585",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Southard, MA LCPC
• St. Anthony SLF, LLC (St. Anthony of Lansing)
• Ryan Stachorek, ATC
• Strengthening Paths Counseling and Consultation, PLLC
• Suburban Chiropractic & Rehab LTD
• Success Center Institute (The Success Center)
• Sunnybrook School District 171
• Sunshine Rehab and Consulting, Inc.
• SVS Vision Inc
• Mubashra S Tahir, O.D.

• Health Service Clinic/Center in Lansing, IL
• Providers in Lansing, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.