Active NPI
Osteopathy Chicago, LTD.
- General Practice Physician
- Chicago, IL
National Provider Identifier
1720526890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036.056894
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Shepherd
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | osteopathychicago@gmail.com | Other |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Social Worker
- Hoffman Estates, IL
- NPI 1871236265
-
- General Practice Physician
- Chicago, IL
- NPI 1891831483
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.