Organization Active NPI

The Centre for Chiropractic Health, LTD.

  • Chiropractor
  • Lombard, IL
National Provider Identifier
1790806412
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
65456125 Issued in IL
Legal business name
THE CENTRE FOR CHIROPRACTIC HEALTH, LTD.
Practice address
2340 S Highland Ave
Suite 360
Lombard, IL 60148-5371
Phone
(630) 268-2680
Fax
(630) 268-2689
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. Timothy Yon, D.C.NPI 1689798233
Title
President
Phone
(630) 268-2680

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 65456125 IL Primary

Addresses

Primary practice location

2340 S Highland Ave
Suite 360
Lombard, IL 60148-5371

Mailing address

2340 S Highland Ave
Suite 360
Lombard, IL 60148-5371
Phone (630) 268-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070712000059 IL Part B Supplier - Clinic/Group Practice 9931209558 Receives reassigned benefits from 2 practitioners
Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

2340 S Highland Ave
Ste 360
Lombard, IL 60148
Phone (630) 268-2680

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1790806412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 360",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-268-2680",
            "fax_number": "630-268-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 S HIGHLAND AVE",
            "address_2": "SUITE 360",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485371",
            "telephone_number": "630-268-2680",
            "fax_number": "630-268-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTRE FOR CHIROPRACTIC HEALTH, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "YON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-268-2680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "65456125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.