Organization Active NPI

Beverly Family Chiropractic Center

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1841476611
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BEVERLY FAMILY CHIROPRACTIC CENTER
Practice address
10735 S Western Ave
Suite 3
Chicago, IL 60643-3156
Phone
(773) 445-0200
Fax
(773) 445-0700
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Amy L Warson
Title
Chiropractic
Phone
(773) 445-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

10735 S Western Ave
Suite 3
Chicago, IL 60643-3156

Mailing address

10735 S Western Ave
Suite 3
Chicago, IL 60643-3155
Phone (773) 445-0200

National Provider Directory

National Provider Directory

Locations

10735 S Western Ave
Ste 3
Chicago, IL 60643
Phone (773) 445-0200

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1841476611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S WESTERN AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433155",
            "telephone_number": "773-445-0200",
            "fax_number": "773-445-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S WESTERN AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433156",
            "telephone_number": "773-445-0200",
            "fax_number": "773-445-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "WARSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "773-445-0200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.