Westchester Olympic Service Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WESTCHESTER OLYMPIC SERVICE CORP

Doing business as

Olympic Chiropractic

Practice address

10055 W Roosevelt Rd Suite E
Westchester, IL 60154

Phone

(708) 681-5000

Fax

(708) 681-5051

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Angeco Gec

Title

President

Phone

(708) 681-5000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olympic Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902962921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 W ROOSEVELT RD SUITE E",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-681-5000",
            "fax_number": "708-681-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 W ROOSEVELT RD SUITE E",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "60154",
            "telephone_number": "708-681-5000",
            "fax_number": "708-681-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER OLYMPIC SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEC",
        "authorized_official_first_name": "ANGECO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-681-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01630203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 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.

Verify at the official NPI Registry.