Champion Chiropractic and Sports Rehab

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

Legal business name

CHAMPION CHIROPRACTIC AND SPORTS REHAB

Practice address

500 Skokie Blvd
Northbrook, IL 60062-2856

Phone

(847) 409-5491

NPI assigned

Oct 31, 2022

Last updated

Oct 31, 2022By 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

Dr. Myles NagelNPI 1972078822

Title

Chiropractor

Phone

(847) 409-5491

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Myles Nagel, DC

  • Chiropractor
  • Northbrook, IL
  • NPI 1972078822
  NPD Authorized official

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1770290629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 LAKE COOK RD APT 258",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155298",
            "telephone_number": "847-409-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SKOKIE BLVD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622856",
            "telephone_number": "847-409-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION CHIROPRACTIC AND SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "847-409-5491",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center on Deafness
• Central Sleep Diagnostics LLC
• Melissa Cepeda, RBT-18-69469
• Michelle Chaban, PSY.D.
• Mariette Champagne, LCSW, CADC
• Song-Ling Chang, M.D.
• Alexandra Rae Channel
• Heather Marie Chapa, RBT-18-65561
• Elissa Chapman, LCSW
• Jaclynn Suzanne Chapman, LCSW, CADC

• Rehabilitation Chiropractor in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.