NPIMap

Organization Active NPI

Avanzado Quiropractico SC

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1972726438
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038009827 Issued in IL
Legal business name
AVANZADO QUIROPRACTICO SC
Practice address
646 W Wellington Ave
Suite # 2E
Chicago, IL 60657-9329
Phone
(773) 426-2264
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Dr. William Robert Cawley, DCNPI 1114071867
Title
President
Phone
(773) 426-2264

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)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 038009827 IL Primary

Addresses

Primary practice location

646 W Wellington Ave
Suite # 2E
Chicago, IL 60657-9329

Mailing address

646 W Wellington Ave
Suite # 2E
Chicago, IL 60657-9329
Phone (773) 426-2264

Other identifiers 1

IdentifierTypeStateIssuer
01635106OtherILBLUE CROSS AND BLUE SHIELD

Other names 1

  • Cawley Chiropractic Care PC Doing business as

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1972726438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W WELLINGTON AVE",
            "address_2": "SUITE # 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579329",
            "telephone_number": "773-426-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W WELLINGTON AVE",
            "address_2": "SUITE # 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579329",
            "telephone_number": "773-426-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANZADO QUIROPRACTICO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-426-2264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038009827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "01635106",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cawley Chiropractic Care PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 29, 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.