Active NPI
Gordon Family Chiropractic, L.L.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1891818548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- GORDON FAMILY CHIROPRACTIC, L.L.C.
- Practice address
- 105 E. 51St. Street
Chicago, IL 60615 - Phone
- (773) 318-7704
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ayo Henry Gordon, D.C.
- Title
- Chiropractor
- Phone
- (773) 318-7704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
105 E. 51St. Street
Chicago, IL 60615
Mailing address
4730 S Prairie Ave
Chicago, IL 60615-1206
Phone (773) 548-6761
National Provider Directory
National Provider DirectoryLocations
5769 S Wentworth Ave
Chicago, IL 60621
Phone (773) 318-7704
105 E 51st St
Chicago, IL 60615
Phone (773) 318-7704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891818548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 S PRAIRIE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606151206",
"telephone_number": "773-548-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 E. 51ST. STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60615",
"telephone_number": "773-318-7704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON FAMILY CHIROPRACTIC, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "AYO",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "773-318-7704",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.