Organization Active NPI

TCM Chiropractic Clinic

  • Chiropractor
  • Skokie, IL
National Provider Identifier
1770614497
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TCM CHIROPRACTIC CLINIC
Practice address
9851 Gross Point Rd
Skokie, IL 60076-1145
Phone
(847) 675-7025
Fax
(847) 675-7026
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jin Woo Lee, D.CNPI 1538274030
Title
Owner
Phone
(847) 675-7025

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
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

9851 Gross Point Rd
Skokie, IL 60076-1145

Mailing address

9851 Gross Point Rd
Skokie, IL 60076-1145
Phone (847) 675-7025

National Provider Directory

National Provider Directory

Locations

9851 Gross Point Rd
Skokie, IL 60076
Phone (847) 675-7025

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770614497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761145",
            "telephone_number": "847-675-7025",
            "fax_number": "847-675-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9851 GROSS POINT RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761145",
            "telephone_number": "847-675-7025",
            "fax_number": "847-675-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JIN",
        "authorized_official_middle_name": "WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-675-7025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.