Chiro-Med Sports Clinic, Inc.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

038007974 Issued in IL

Legal business name

CHIRO-MED SPORTS CLINIC, INC.

Practice address

3100 Dundee Road
Suite 506
Northbrook, IL 60062-2437

Phone

(847) 562-0888

Fax

(847) 562-0842

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hal Stein, D.C.NPI 1871606624

Title

President

Phone

(847) 562-0888

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bodies In Balance chiropractic and Wellness Center Doing business as

Locations

Practitioners 1

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

• Hal Stein, FNP-C, D.C.

  • Family Nurse Practitioner
  • Schaumburg, IL
  • NPI 1871606624
  NPD (past) Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344038400000",
    "number": "1710079710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE RD",
            "address_2": "SUITE 506",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622437",
            "telephone_number": "847-562-0888",
            "fax_number": "847-562-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 DUNDEE ROAD",
            "address_2": "SUITE 506",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622437",
            "telephone_number": "847-562-0888",
            "fax_number": "847-562-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO-MED SPORTS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-08-04",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-562-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Internist",
            "state": "IL",
            "license": "038007974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1620955",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bodies In Balance chiropractic and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asha Chikani, PHARMD
• Child and Family Psychiatric Center LLC
• Alyssa Chin
• Jeetha Chirayil
• Chiro One Wellness Center of Northbrook LLC
• Janet Chon
• Tracy Choy, MS, OTR/L
• Katrina Christianson, RD
• Christine Biser D.C., S.C.
• Brianna Christman

• Internist Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Internist Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2012; 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.