Active NPI
Chicago Sports Clinic, Inc
- Chiropractor
- Chicago, IL
National Provider Identifier
1942983093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CHICAGO SPORTS CLINIC, INC
- Practice address
- 2128 W Belmont Ave
Chicago, IL 60618-6414 - Phone
- (773) 368-5119
- NPI assigned
- Aug 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyle Ross, DC
- Title
- Owner
- Phone
- (262) 676-9370
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2128 W Belmont Ave
Chicago, IL 60618-6414
Mailing address
2128 W Belmont Ave
Chicago, IL 60618-6414
National Provider Directory
National Provider DirectoryLocations
2128 W Belmont Ave
Chicago, IL 60618
Phone (773) 368-5119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chicago, IL
- NPI 1275934085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1942983093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2128 W BELMONT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186414",
"telephone_number": "773-368-5119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHICAGO SPORTS CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-676-9370",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"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. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.