Pure Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013082 Issued in IL

Legal business name

PURE CHIROPRACTIC LLC

Practice address

1546A 75TH St
Downers Grove, IL 60516-6205

Phone

(630) 708-7877

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Erick Dobrzynski, DCNPI 1336664648

Title

Owner

Phone

(630) 708-7877

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Erick Dobrzynski, DC

  • Chiropractor
  • Downers Grove, IL
  • NPI 1336664648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699290908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546A 75TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605166205",
            "telephone_number": "630-708-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546A 75TH ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605166205",
            "telephone_number": "630-708-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOBRZYNSKI",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-708-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.