Cecil Chiropractic Clinic, P.C.

Key facts

NPI

1720152168

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

CECIL CHIROPRACTIC CLINIC, P.C.

Practice address

917C W 55TH St
Countryside, IL 60525-6613

Phone

(708) 352-9393

Fax

(708) 352-5077

NPI assigned

Nov 18, 2006

Organization subpart

No

Authorized official

Name

Dr. Brian Allan Cecil

Title

President

Phone

(708) 352-9393

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 25, 2020.

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1720152168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WOODWARD AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152632",
            "telephone_number": "630-964-5117",
            "fax_number": "708-352-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917C W 55TH ST",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605256613",
            "telephone_number": "708-352-9393",
            "fax_number": "708-352-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-352-9393",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "16-82743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

• Thomas Robert Bryson, MSN, FNP-BC
• Steve Buda, RPH
• Eugene J Buksa, DDS, MS
• Stacey L Carpenter, DO
• Michael Caruso
• Brian Allan Cecil, D.C.
• Jacqueline J Celmer, FNP
• Center for Independence Through Conductive Education Inc
• Eileen Diane Caadan Chavez, PT
• Marquez Chew

All providers in Countryside, IL · Chiropractor in Illinois