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Organization Active NPI

Orion Diagnostic & Chiropractic Center

  • Chiropractor
  • Chicago Ridge, IL
National Provider Identifier
1952591448
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038008190 Issued in IL
Legal business name
ORION DIAGNOSTIC & CHIROPRACTIC CENTER
Practice address
9830 S. Ridgeland Ave
Suite # 5
Chicago Ridge, IL 60415
Phone
(708) 288-2239
Fax
(708) 233-6167
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Khaled A. Khorshid, C.D.
Title
Clinic Director
Phone
(708) 288-2239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038008190 IL Primary

Addresses

Primary practice location

9830 S. Ridgeland Ave
Suite # 5
Chicago Ridge, IL 60415

Mailing address

9004 Ridgeland Ave
Oak Lawn, IL 60453-1414
Phone (708) 288-2239

Other identifiers 3

IdentifierTypeStateIssuer
647758OtherILACN
K08024OtherILMEDICARE MEMBER NUMBER
01633049OtherILBC/BS

National Provider Directory

National Provider Directory

Locations

1507 Chicago Ave
Evanston, IL 60201
Phone (708) 545-4402

Practitioners & affiliated clinicians

Practitioners 2

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": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1952591448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9004 RIDGELAND AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531414",
            "telephone_number": "708-288-2239",
            "fax_number": "708-233-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 S. RIDGELAND AVE",
            "address_2": "SUITE # 5",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "60415",
            "telephone_number": "708-288-2239",
            "fax_number": "708-233-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORION DIAGNOSTIC & CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KHORSHID",
        "authorized_official_first_name": "KHALED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "708-288-2239",
        "authorized_official_credential": "C.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "647758",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER NUMBER",
            "identifier": "K08024",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "01633049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.