Organization Active NPI

Lardi Complete Chiropractic, LLC

  • Chiropractor
  • Orland Park, IL
National Provider Identifier
1740654052
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012847 Issued in IL
Legal business name
LARDI COMPLETE CHIROPRACTIC, LLC
Practice address
9763 W 143Rd St Ste D
Orland Park, IL 60462-2575
Phone
(708) 873-0069
Fax
(708) 873-0070
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Dr. Joel David Lardi, D.C.NPI 1164890380
Title
Chiropractor
Phone
(815) 693-5590

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012847 IL Primary

Addresses

Primary practice location

9763 W 143Rd St Ste D
Orland Park, IL 60462-2575

Mailing address

9763 W 143Rd St Ste D
Orland Park, IL 60462-2575
Phone (708) 873-0069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151209001936 IL Part B Supplier - Clinic/Group Practice 4284935644 Receives reassigned benefits from 1 practitioner
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

9763 W 143rd St
Orland Park, IL 60462

9763 W 143rd St
Ste E
Orland Park, IL 60462
Phone (708) 873-0069

9763 W 143rd St
Ste D
Orland Park, IL 60462
Phone (708) 444-8310

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": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1740654052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9763 W 143RD ST STE D",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622575",
            "telephone_number": "708-873-0069",
            "fax_number": "708-873-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9763 W 143RD ST STE D",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622575",
            "telephone_number": "708-873-0069",
            "fax_number": "708-873-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARDI COMPLETE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "LARDI",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-693-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012847",
            "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 Nov 24, 2015; 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.