Biotidal Technology, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038-006984 Issued in IL

Legal business name

BIOTIDAL TECHNOLOGY, INC

Practice address

3354 N Paulina St
Suite 206C
Chicago, IL 60657-1068

Phone

(773) 991-5131

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gregg S Horigan, D.C.

Title

President

Phone

(773) 991-5131

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Ifeoma Chinyere Okorafor-Chidume, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1932219391
  NPD (past)
• Anton J. Rittling, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1104840131
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1710145933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 W POTOMAC AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606511853",
            "telephone_number": "773-486-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 N PAULINA ST",
            "address_2": "SUITE 206C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571068",
            "telephone_number": "773-991-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOTIDAL TECHNOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "HORIGAN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-991-5131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038-006984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bioliv LLC
• Bionic Prosthetics and Orthotics Group LLC
• Biopsychtech of Chicago, LTD
• Biosafe Laboratories, Inc.
• Bioscrip Pharmacy, Inc.
• Birch Optical
• Birch River Wellness, P.C.
• Deborah Birch-Gaytan, M.A.
• Dawn M Birch, O.D.
• Katrina Lynn Birch, M.D.

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.