Organization Active NPI

Back to Health Chiropractic LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1932371390
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008421 Issued in IL
Legal business name
BACK TO HEALTH CHIROPRACTIC LTD
Practice address
4353 S Kedzie Ave
Chicago, IL 60632-2841
Phone
(773) 927-1885
Fax
(773) 927-1886
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Dr. Jorge Roberto Scopp, CD
Title
President
Phone
(773) 927-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008421 IL Primary

Addresses

Primary practice location

4353 S Kedzie Ave
Chicago, IL 60632-2841

Mailing address

4353 S Kedzie Ave
Chicago, IL 60632-2841
Phone (773) 927-1885

National Provider Directory

National Provider Directory

Locations

4353 S Kedzie Ave
Chicago, IL 60632
Phone (773) 927-1885

Practitioners & affiliated clinicians

Practitioners 3

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1932371390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4353 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322841",
            "telephone_number": "773-927-1885",
            "fax_number": "773-927-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4353 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606322841",
            "telephone_number": "773-927-1885",
            "fax_number": "773-927-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "SCOPP",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-927-1885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008421",
            "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 Nov 25, 2008; 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.