Illinois Center for Progressive Health, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007739 Issued in IL

Legal business name

ILLINOIS CENTER FOR PROGRESSIVE HEALTH, SC

Practice address

1002 W Lake St
Chicago, IL 60607-1715

Phone

(312) 243-3338

NPI assigned

Jan 11, 2010

Organization subpart

No

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

Authorized official

Name

Nicholas Leroy, DCNPI 1720120876

Title

Physician

Phone

(312) 243-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Nicholas Roger Leroy, D.C.

  • Internist Chiropractor
  • Chicago, IL
  • NPI 1720120876
  NPD (past) Authorized official

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1720318934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W LAKE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071715",
            "telephone_number": "312-243-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS CENTER FOR PROGRESSIVE HEALTH, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-243-3338",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001607135",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Illinois Bone and Joint Institute,LLC
• Illinois Bone and Joint Open MRI
• Illinois Cancer Specialists
• Illinois Cancer Specialists
• Illinois Care and Training Inc.
• Illinois Center for Rehabilitation and Education
• Illinois Children & Family Development Center LLC
• Illinois College of Optometry (Illinois Eye Institute)
• Illinois College of Optometry
• Illinois Coordinated Care Partnership, LLC (Iccp)

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.