NPIMap

Organization Active NPI

Orland Chiropractic and Physical Medicine, LLC

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1740577923
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008510 Issued in IL
Legal business name
ORLAND CHIROPRACTIC AND PHYSICAL MEDICINE, LLC
Practice address
14406 John Humphrey Dr
Orland Park, IL 60462-2638
Phone
(708) 949-8401
Fax
(708) 949-8497
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Dr. Rashid Abu-Shanab, DC
Title
President
Phone
(708) 949-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038008510 IL Primary

Addresses

Primary practice location

14406 John Humphrey Dr
Orland Park, IL 60462-2638

Mailing address

14406 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 949-8401

National Provider Directory

National Provider Directory

Locations

14406 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 364-0638

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1740577923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14406 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-949-8401",
            "fax_number": "708-949-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14406 JOHN HUMPHREY DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622638",
            "telephone_number": "708-949-8401",
            "fax_number": "708-949-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND CHIROPRACTIC AND PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "ABU-SHANAB",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-949-8401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.