Organization Active NPI

Complete Chiropractic Care PC

  • Health Service Clinic/Center
  • Wheaton, IL
National Provider Identifier
1811188816
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COMPLETE CHIROPRACTIC CARE PC
Practice address
1749 S Naperville Rd
Ste 207
Wheaton, IL 60187-8192
Phone
(630) 460-6733
Fax
(630) 752-1222
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Olga Roshior, D.C.
Title
President
Phone
(630) 460-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X IL Primary

Addresses

Primary practice location

1749 S Naperville Rd
Ste 207
Wheaton, IL 60187-8192

Mailing address

1749 S Naperville Rd
Ste 207
Wheaton, IL 60187-8192
Phone (630) 460-6733

Other identifiers 2

IdentifierTypeStateIssuer
02232306OtherILBCBS
1558496802OtherILINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1811188816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S NAPERVILLE RD",
            "address_2": "STE 207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878192",
            "telephone_number": "630-460-6733",
            "fax_number": "630-752-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 S NAPERVILLE RD",
            "address_2": "STE 207",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601878192",
            "telephone_number": "630-460-6733",
            "fax_number": "630-752-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CHIROPRACTIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "ROSHIOR",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-460-6733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232306",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1558496802",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

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