Homer Chiropractic Clinic LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038004287 Issued in IL

Legal business name

HOMER CHIROPRACTIC CLINIC LLC

Practice address

12261 W 159TH St
Homer Glen, IL 60491-7847

Phone

(708) 301-2255

Fax

(708) 301-2631

NPI assigned

Dec 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Helen E Owens, DPTNPI 1013073105

Title

Manager

Phone

(708) 301-2255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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

• Brian Burkhart, D.C.

  • Chiropractor
  • Homer Glen, IL
  • NPI 1417378647
  Medicare reassignment Care Compare group
• Victoria Hyzny Hart, D.C.

  • Chiropractor
  • Homer Glen, IL
  • NPI 1255403507
  Medicare reassignment Care Compare group
• Helen Owens, P.T.

  • Orthopedic Physical Therapist
  • Homer Glen, IL
  • NPI 1013073105
  NPD Authorized official

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1740510593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12261 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917847",
            "telephone_number": "708-301-2255",
            "fax_number": "708-301-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12261 W 159TH ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917847",
            "telephone_number": "708-301-2255",
            "fax_number": "708-301-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-301-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038004287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Hernandez
• Karen Michelle Hill-Davis, LCSW
• Crystal D. Hines-Mays, M.D.
• Home Dialysis Services LLC
• Home Hemo Dialysis Network LLC
• Homer Glen Chiropractic Center, SC
• Homer Glen Open MRI and Imaging LLC
• Homer Glen Pediatrics, SC
• Homer Glen Vision Source LLC
• Homer-Lockport Dental Associates, Inc.

• Medical Specialty Clinic/Center in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.