Petrak Family Chiropractic Center S.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETRAK FAMILY CHIROPRACTIC CENTER S.C

Practice address

3070 South Wolf Rd
Westchester, IL 60154

Phone

(630) 853-9971

NPI assigned

Oct 19, 2015

Organization subpart

No

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

Authorized official

Name

Stephen Petrak, DCNPI 1811308919

Title

Owner

Phone

(630) 853-9971

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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

• Stephen Petrak, D.C

  • Chiropractor
  • Chicago, IL
  • NPI 1811308919
  Medicare reassignment NPD Authorized official
• Julian Eric Lopez, D.C

  • Chiropractor
  • Westchester, IL
  • NPI 1316874563
  Medicare reassignment NPD
• Jacob Lombardi Mammosser, DC

  • Chiropractor
  • Westchester, IL
  • NPI 1306552559
  Medicare reassignment NPD

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1841661774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 SOUTH WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "630-853-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 SOUTH WOLF RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "630-853-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRAK FAMILY CHIROPRACTIC CENTER S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "PETRAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-853-9971",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Pappas
• Youngsook Park, M.D.
• Lily Paterno, MMT, LPMT, MT-BC
• Pathology Associates of Northern Illinois, PC
• Patient First Home Healthcare, Inc.
• Keith E. Petranek, D.D.S.
• Pleasant Touch Dental, P.C.
• Plume Health, PC
• Podiatric Management Systems LLC
• Paula Jean Pohlhammer, MSMFT LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.