Prowell Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PROWELL CHIROPRACTIC INC

Practice address

12015 Western Ave
Suite 202
Blue Island, IL 60406-1193

Phone

(708) 371-9347

Fax

(708) 371-9359

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By 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. Dennis Prowell, D.C.NPI 1871678383

Title

President

Phone

(708) 371-9347

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.

• Dennis A Prowell, D.C.

  • Chiropractor
  • Blue Island, IL
  • NPI 1871678383
  Authorized official Same address or phone

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1801084702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 S. WESTERN AVE",
            "address_2": "SUITE 202",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061195",
            "telephone_number": "708-371-9347",
            "fax_number": "708-371-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 WESTERN AVE",
            "address_2": "SUITE 202",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061193",
            "telephone_number": "708-371-9347",
            "fax_number": "708-371-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROWELL CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PROWELL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-371-9347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.