NPIMap

Organization Active NPI

Oak Park Sports Medicine

  • Orthopedic Chiropractor
  • Oak Park, IL
National Provider Identifier
1932528940
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038.012565 Issued in IL
Legal business name
OAK PARK SPORTS MEDICINE
Practice address
1144 Lake St
203
Oak Park, IL 60301-6705
Phone
(708) 406-9459
NPI assigned
Apr 8, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Arian A Lecuona, D.C.NPI 1659796282
Title
Head Physician/Owner
Phone
(708) 406-9459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 038.012565 IL Primary

Addresses

Primary practice location

1144 Lake St
203
Oak Park, IL 60301-6705

Mailing address

1144 Lake St
203
Oak Park, IL 60301-6705
Phone (708) 406-9459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1932528940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST",
            "address_2": "203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-406-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST",
            "address_2": "203",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016705",
            "telephone_number": "708-406-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "LECUONA",
        "authorized_official_first_name": "ARIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HEAD PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "708-406-9459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038.012565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.