Suburban Chiropractic & Rehab LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38010989 Issued in IL

Legal business name

SUBURBAN CHIROPRACTIC & REHAB LTD

Practice address

18525 Torrence Ave
Lansing, IL 60438-2871

Phone

(708) 418-5505

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By 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. Kenneth Martin, DC

Title

Owner

Phone

(708) 418-5505

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.

• T Scott Yoder, DC, CCSP

  • Sports Physician Chiropractor
  • Lansing, IL
  • NPI 1093828089
  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1821229782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18525 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382871",
            "telephone_number": "708-418-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18525 TORRENCE AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382871",
            "telephone_number": "708-418-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN CHIROPRACTIC & REHAB LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-418-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Lite LLC
• Donna Southard, MA LCPC
• St. Anthony SLF, LLC (St. Anthony of Lansing)
• Ryan Stachorek, ATC
• Strengthening Paths Counseling and Consultation, PLLC
• Suburban Chiropractic-Lansing, PC
• Success Center Institute (The Success Center)
• Sunnybrook School District 171
• Sunshine Rehab and Consulting, Inc.
• SVS Vision Inc

• Chiropractor in Lansing, IL
• Providers in Lansing, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.