Organization Active NPI

White Lotus Chiropractic of Oak Park LTD

  • Chiropractor
  • Oak Park, IL
National Provider Identifier
1699066167
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011866 Issued in IL
Legal business name
WHITE LOTUS CHIROPRACTIC OF OAK PARK LTD
Practice address
1001 Madison St
1St Floor
Oak Park, IL 60302-4443
Phone
(708) 383-1200
Fax
(708) 383-3630
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Tara D. Gerou, D.C.NPI 1801191218
Title
Doctor of Chiropractic, Proprietor
Phone
(708) 383-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038011866 IL Primary

Addresses

Primary practice location

1001 Madison St
1St Floor
Oak Park, IL 60302-4443

Mailing address

1001 Madison St
1St Floor
Oak Park, IL 60302-4443
Phone (708) 383-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110531000465 IL Part B Supplier - Clinic/Group Practice 2860679883 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Locations

1001 Madison St
Lowr A
Oak Park, IL 60302
Phone (708) 383-1200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1699066167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST",
            "address_2": "1ST FLOOR",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024443",
            "telephone_number": "708-383-1200",
            "fax_number": "708-383-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MADISON ST",
            "address_2": "1ST FLOOR",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024443",
            "telephone_number": "708-383-1200",
            "fax_number": "708-383-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LOTUS CHIROPRACTIC OF OAK PARK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "GEROU",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC, PROPRIETOR",
        "authorized_official_telephone_number": "708-383-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.