NPIMap

Organization Active NPI

Santos Chiropractic Center, LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1740686344
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012693 Issued in IL
Legal business name
SANTOS CHIROPRACTIC CENTER, LTD
Practice address
3918 W 63Rd St
Chicago, IL 60629-4604
Phone
(773) 284-9660
Fax
(773) 284-9676
NPI assigned
Nov 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Authorized official

Name
Dr. Khalaf H Khalifeh, D.C
Title
President
Phone
(773) 284-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.012693 IL Primary

Addresses

Primary practice location

3918 W 63Rd St
Chicago, IL 60629-4604

Mailing address

3918 W 63Rd St
Chicago, IL 60629-4604
Phone (773) 284-9660

National Provider Directory

National Provider Directory
Tax ID family
Santos Chiropractic Center LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1740686344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294604",
            "telephone_number": "773-284-9660",
            "fax_number": "773-284-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294604",
            "telephone_number": "773-284-9660",
            "fax_number": "773-284-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS CHIROPRACTIC CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "KHALIFEH",
        "authorized_official_first_name": "KHALAF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-284-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 8, 2014; 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.