Active NPI
Sherman Clay II, D.C.
- Rehabilitation Chiropractor
- Chicago, IL
National Provider Identifier
1801086004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 038.011791
- Practice address
- 7141 S. Jeffery Blvd
Suite 12
Chicago, IL 60649 - Phone
- (773) 324-4325
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 038.011791 | IL | Primary |
| Rehabilitation Chiropractor | 111NR0400X | 9505TX | TX |
Addresses
Primary practice location
7141 S. Jeffery Blvd
Suite 12
Chicago, IL 60649
Mailing address
7141 S. Jeffery Blvd
Suite 12
Chicago, IL 60649
Phone (773) 324-4325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011791 | IL | MD | Rehabilitation Chiropractor |
| 9505TX | TX | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289520000000",
"number": "1801086004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 S. JEFFERY BLVD",
"address_2": "SUITE 12",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-324-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 S. JEFFERY BLVD",
"address_2": "SUITE 12",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-324-4325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "SHERMAN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2010-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038.011791",
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "9505TX",
"primary": false
}
],
"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 Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.