Chicago Chiropractic and Physical Medicine, SC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CHICAGO CHIROPRACTIC AND PHYSICAL MEDICINE, SC

Practice address

1 E Delaware PL Ste 401
Chicago, IL 60611-5135

Phone

(312) 337-4004

NPI assigned

Jan 21, 2020

Last updated

Feb 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Justin Geisheker, DCNPI 1891801080

Title

Owner

Phone

(312) 337-4004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam J Geisheker, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1891801080
  Medicare reassignment Authorized official
• Michael N. Kauf, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1356496087
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1750911558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115135",
            "telephone_number": "312-337-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E DELAWARE PL STE 401",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115135",
            "telephone_number": "312-337-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CHIROPRACTIC AND PHYSICAL MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "GEISHEKER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-4004",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Child Care Society
• Chicago Children's Advocacy Center
• Chicago Children's General Anesthesia Dentistry, PLLC
• Chicago Children's Surgery Center, LLC
• Chicago Chiropractic & Sports Injury Center
• Chicago Chiropractic Center, S.C.
• Chicago Circle Association
• Chicago City of (Chicago Department of Public Health)
• Chicago City of (Chicago Department of Public Health)
• Chicago City of (City of Chicago Department of Public Health)

• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.