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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Chicago Anesthesia LLC Current
since Mar 30, 2020
Accepting new patients
Hispanic American Endoscopy Center, LLC Current Accepting new patients
Advanced Physical Medicine Centers, S.C. Current
since Aug 1, 2007
Accepting new patients
Pinnacle Pain Management Past Accepting new patients
R&R Global Chiropractic Clinic, P.C. Chiropractor Past
since Jul 15, 1999
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Chicago, IL · Chiropractor in Illinois

Sources for this page

Verify at the official NPI Registry.