Chicago Chiropractic Center, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHICAGO CHIROPRACTIC CENTER, S.C.

Practice address

30 S Michigan Ave
Ste 400
Chicago, IL 60603-3211

Phone

(312) 726-1353

Fax

(312) 726-5238

NPI assigned

Jul 17, 2007

Last updated

Oct 22, 2010By 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. Anne I Gordon, DCNPI 1366461006

Title

Owner

Phone

(312) 726-1353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Anne I. Gordon, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1366461006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1841499035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S MICHIGAN AVE",
            "address_2": "STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033211",
            "telephone_number": "312-726-1353",
            "fax_number": "312-726-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S MICHIGAN AVE",
            "address_2": "STE 400",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606033211",
            "telephone_number": "312-726-1353",
            "fax_number": "312-726-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO CHIROPRACTIC CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-726-1353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Children's Advocacy Center
• Chicago Children's General Anesthesia Dentistry, PLLC
• Chicago Children's Surgery Center, LLC
• Chicago Chiropractic & Sports Injury Center
• Chicago Chiropractic and Physical Medicine, SC
• Chicago Circle Association
• Chicago City of (Chicago Department of Public Health)
• Chicago City of (Chicago Department of Public Health)
• Chicago City of (City of Chicago Department of Public Health)
• Chicago City of (South Austin Specialty Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.