Organization Active NPI

Osteopathy Chicago, LTD.

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1720526890
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036.056894 Issued in IL
Legal business name
OSTEOPATHY CHICAGO, LTD.
Practice address
17 N Wabash Ave Ste 678
Chicago, IL 60602-4878
Phone
(312) 782-9153
NPI assigned
Feb 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Angela ShepherdNPI 1871236265
Title
Office Manager
Phone
(312) 782-9153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 036.056894 IL Primary

Addresses

Primary practice location

17 N Wabash Ave Ste 678
Chicago, IL 60602-4878

Mailing address

930 Hassell Rd
Hoffman Estates, IL 60169-2602
Phone (312) 782-9153

Other practice location 1

111 N Wabash Ave Ste 712
Chicago, IL 60602-1913
Phone (312) 782-9153

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL osteopathychicago@gmail.com Other

National Provider Directory

National Provider Directory

Locations

17 N Wabash Ave
Ste 678
Chicago, IL 60602
Phone (312) 782-9153

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1720526890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692602",
            "telephone_number": "312-782-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N WABASH AVE STE 678",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024878",
            "telephone_number": "312-782-9153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Wabash Ave Ste 712",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021913",
            "country_code": "US",
            "telephone_number": "312-782-9153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OSTEOPATHY CHICAGO, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "312-782-9153"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036.056894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "osteopathychicago@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "business email",
            "address_1": "17 N Wabash Ave Ste 678",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606024878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.