Ryan Matthew Rosenthal, D.C.
Individual provider Active NPI Chiropractor · Chicago, IL
NPI 1922014992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922014992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 2655 W 63Rd St
Chicago, IL 60629-1641 - Phone
- (773) 776-3166
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Chicago Anesthesia LLC | Current |
Accepting new patients | |
| Hispanic American Endoscopy Center, LLC | Current | Accepting new patients | |
| Advanced Physical Medicine Centers, S.C. | Current |
Accepting new patients | |
| Pinnacle Pain Management | Past | Accepting new patients | |
| R&R Global Chiropractic Clinic, P.C. | Chiropractor | Past |
Accepting new patients |
| Community Outreach Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
2935 W 63rd St
Chicago, IL 60629
Phone 70876396221004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
2655 W 63Rd St
Chicago, IL 60629-1641
Mailing address
2655 W 63Rd St
Chicago, IL 60629-1641
NPI Registry JSON
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922014992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606291641",
"telephone_number": "773-776-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSENTHAL",
"first_name": "RYAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_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. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.