Organization Active NPI

Chiropractic, Acupuncture and Yoga Center LLC

  • Chiropractor
  • Buffalo Grove, IL
National Provider Identifier
1912379629
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-00712 Issued in IL
Legal business name
CHIROPRACTIC, ACUPUNCTURE AND YOGA CENTER LLC
Practice address
1625 Barclay Blvd
Buffalo Grove, IL 60089-4544
Phone
(847) 400-7598
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Bahia Al-Salihi, DCNPI 1386809531
Title
Owner
Phone
(847) 400-7598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-00712 IL Primary

Addresses

Primary practice location

1625 Barclay Blvd
Buffalo Grove, IL 60089-4544

Mailing address

1625 Barclay Blvd
Buffalo Grove, IL 60089-4544
Phone (847) 400-7598

Other identifiers 1

IdentifierTypeStateIssuer
IL3317OtherILMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151204002540 IL Part B Supplier - Clinic/Group Practice 1355641812 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield, IL

National Provider Directory

National Provider Directory

Locations

1625 Barclay Blvd
Buffalo Grove, IL 60089
Phone (847) 400-7598

740 Waukegan Rd
Ste 107
Deerfield, IL 60015
Phone (847) 400-7598

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1912379629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894544",
            "telephone_number": "847-400-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BARCLAY BLVD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894544",
            "telephone_number": "847-400-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC, ACUPUNCTURE AND YOGA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "AL-SALIHI",
        "authorized_official_first_name": "BAHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-400-7598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-00712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL3317",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.