Roselle Chiropractic Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

Legal business name

ROSELLE CHIROPRACTIC INC

Practice address

50 Irving Park Rd
Roselle, IL 60172

Phone

(630) 295-8851

Fax

(630) 295-8852

NPI assigned

Jan 3, 2007

Last updated

Aug 20, 2015By 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

Tariq Ahmed, DCNPI 1750448320

Title

Owner

Phone

(630) 295-8851

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• Tariq Ahmed, DC

  • Chiropractor
  • Roselle, IL
  • NPI 1750448320
  Medicare reassignment NPD Authorized official
• Aamir Mahmood, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Michigan City, IN
  • NPI 1902359714
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1841357316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "60172",
            "telephone_number": "630-295-8851",
            "fax_number": "630-295-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING PARK RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "60172",
            "telephone_number": "630-295-8851",
            "fax_number": "630-295-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSELLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-295-8851",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209.006668",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-008665",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012771",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008665",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sukanya Reddy, M.D.
• Reinforce Health & Wellness, P.C.
• Sylvia Virginia Rodriguez
• Rophe Wound Care PLLC
• Rose of Sharon MC LLC
• Roselle Dental Center PC
• Roselle Physical Medicine Group
• Roselle Physical Medicine Group
• Roselle School Dist 12
• Roselle Service Company LLC (Integrated Physical Medicine of Roselle)

• Sports Medicine (Family Medicine) Physician in Roselle, IL
• Providers in Roselle, IL by specialty
• Sports Medicine (Family Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.