Organization Active NPI

Juarez Chiropractic Inc.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1790080232
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011846 Issued in IL
Legal business name
JUAREZ CHIROPRACTIC INC.
Practice address
4614 S Western Ave
Chicago, IL 60609-4040
Phone
(773) 823-7005
Fax
(888) 416-9095
NPI assigned
Jan 13, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Rodrigo Juarez Jr., D.C.NPI 1770887036
Title
President
Phone
(773) 823-7005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038011846 IL Primary

Addresses

Primary practice location

4614 S Western Ave
Chicago, IL 60609-4040

Mailing address

4614 S Western Ave
Chicago, IL 60609-4040
Phone (773) 823-7005

National Provider Directory

National Provider Directory

Locations

4614 S Western Ave
Chicago, IL 60609
Phone (773) 782-6100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1790080232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094040",
            "telephone_number": "773-823-7005",
            "fax_number": "888-416-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094040",
            "telephone_number": "773-823-7005",
            "fax_number": "888-416-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAREZ CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-823-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011846",
            "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 Jan 20, 2011; 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.