NPIMap

Organization Active NPI

Alliance Chiropractic Health Center Inc

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1942428644
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
038008973 Issued in IL
Legal business name
ALLIANCE CHIROPRACTIC HEALTH CENTER INC
Practice address
4539 N Western Ave
Chicago, IL 60625-2116
Phone
(773) 878-2660
Fax
(773) 878-2860
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Dr. Virgilio C Castillo Jr., D.C.
Title
President
Phone
(773) 878-2660

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 038-009043 IL
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X 038008973 IL Primary

Addresses

Primary practice location

4539 N Western Ave
Chicago, IL 60625-2116

Mailing address

4539 N Western Ave
Chicago, IL 60625-2116
Phone (773) 878-2660

Other identifiers 1

IdentifierTypeStateIssuer
01630039OtherILBCBS CASTILLO & REYES

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1942428644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252116",
            "telephone_number": "773-878-2660",
            "fax_number": "773-878-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252116",
            "telephone_number": "773-878-2660",
            "fax_number": "773-878-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE CHIROPRACTIC HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-878-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009043",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038008973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CASTILLO & REYES",
            "identifier": "01630039",
            "state": "IL"
        }
    ],
    "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 Sep 2, 2011; 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.