Integrated Nutrition and Chiropractic Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011175 Issued in IL

Legal business name

INTEGRATED NUTRITION AND CHIROPRACTIC CENTER LTD

Practice address

6518 N Clark St
Chicago, IL 60626-4002

Phone

(773) 793-6077

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rudy H So, DCNPI 1497912398

Title

President

Phone

(773) 793-6077

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudy So, DC

  • Chiropractor
  • Chicago, IL
  • NPI 1497912398
  NPD (past) Authorized official

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1821486127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264002",
            "telephone_number": "773-793-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264002",
            "telephone_number": "773-793-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED NUTRITION AND CHIROPRACTIC CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "RUDY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-793-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Chicago, IL
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• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.