Organization Active NPI

Lopez Family Chiropractic SC

  • Chiropractor
  • Bedford Park, IL
National Provider Identifier
1740650696
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012211 Issued in IL
Legal business name
LOPEZ FAMILY CHIROPRACTIC SC
Practice address
7456 S State Rd Ste 204
Bedford Park, IL 60638-6625
Phone
(773) 376-1162
Fax
(773) 376-1162
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Dr. Roberto Lopez Jr., DCNPI 1265797385
Title
Owner of Company
Phone
(773) 962-7892

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038012211 IL Primary

Addresses

Primary practice location

7456 S State Rd Ste 204
Bedford Park, IL 60638-6625

Mailing address

7456 S State Rd Ste 204
Bedford Park, IL 60638-6625
Phone (773) 376-1162

Other identifiers 1

IdentifierTypeStateIssuer
038012211MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208000653 IL Part B Supplier - Clinic/Group Practice 5698079903 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford Park, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1740650696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 204",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-376-1162",
            "fax_number": "773-376-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD STE 204",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386625",
            "telephone_number": "773-376-1162",
            "fax_number": "773-376-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOPEZ FAMILY CHIROPRACTIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER OF COMPANY",
        "authorized_official_telephone_number": "773-962-7892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038012211",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.