Organization Active NPI

Sos Chiropractic Inc.

  • Physical Therapist
  • Berwyn, IL
National Provider Identifier
1962956482
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOS CHIROPRACTIC INC.
Practice address
2223 Oak Park Ave
Berwyn, IL 60402-4670
Phone
(708) 231-0012
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Authorized official

Name
Dr. Carlos Garavito, D.C., P.T.A.
Title
Director
Phone
(708) 231-0012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2223 Oak Park Ave
Berwyn, IL 60402-4670

Mailing address

2223 Oak Park Ave
Garden Suite
Berwyn, IL 60402-4670
Phone (708) 231-0012

Other names 1

  • SOS Medicorp Doing business as

National Provider Directory

National Provider Directory

Locations

2223 Oak Park Ave
Berwyn, IL 60402
Phone (708) 231-0012

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1962956482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 OAK PARK AVE",
            "address_2": "GARDEN SUITE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024670",
            "telephone_number": "708-231-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604024670",
            "telephone_number": "708-231-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOS CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "GARAVITO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-231-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOS Medicorp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.