NPIMap

Organization Active NPI

Chicago Premium Chiropractic Inc.

  • Chiropractor
  • Northbrook, IL
National Provider Identifier
1821386814
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011825 Issued in IL
Legal business name
CHICAGO PREMIUM CHIROPRACTIC INC.
Practice address
3000 Dundee Rd
308
Northbrook, IL 60062-2422
Phone
(847) 272-7727
Fax
(847) 272-7673
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Alexander Ayzenshteyn, D.C.
Title
Owner
Phone
(847) 254-4970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011825 IL Primary

Addresses

Primary practice location

3000 Dundee Rd
308
Northbrook, IL 60062-2422

Mailing address

791 Dunhill Dr
Buffalo Grove, IL 60089-1514
Phone (847) 229-0513

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1821386814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 DUNHILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891514",
            "telephone_number": "847-229-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD",
            "address_2": "308",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622422",
            "telephone_number": "847-272-7727",
            "fax_number": "847-272-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PREMIUM CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "AYZENSHTEYN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-254-4970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.