Loop Chiropractic & Sports Injury Center, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010201 Issued in IL

Legal business name

LOOP CHIROPRACTIC & SPORTS INJURY CENTER, LTD.

Practice address

39 S. Lasalle Street
#617
Chicago, IL 60603

Phone

(312) 236-9355

Fax

(773) 236-9301

NPI assigned

Apr 13, 2007

Last updated

May 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alden C Clendenin, D.C.

Title

President

Phone

(312) 236-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Loop Chiropractic Sports Injury Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Loop Chiropractic & Sports Injury Center

  • Sports Physician Chiropractor
  • Chicago, IL
  • NPI 1437539400
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher P Bocci, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1891727707
  Medicare reassignment
• Nicholas Peter Fotieo, D.C.

  • Sports Physician Chiropractor
  • Chicago, IL
  • NPI 1881075216
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1972727378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S. LASALLE STREET",
            "address_2": "#617",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60603",
            "telephone_number": "312-236-9355",
            "fax_number": "773-236-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S. LASALLE STREET",
            "address_2": "#617",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60603",
            "telephone_number": "312-236-9355",
            "fax_number": "773-236-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOP CHIROPRACTIC & SPORTS INJURY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "ALDEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-236-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Looney, LCSW
• Katherine Looney
• Kimberly Anne Looney, R.N.
• Loop Anesthesia Consultants, LLC
• Loop Chiropractic & Sports Injury Center
• Loop Dental & Spa (Universal Dental)
• Loop Dermatology & Acne Care Center LLC
• Loop Nutrition Inc
• Loop Psychotherapy, P.C.
• Loop Spine & Sports Center, LTD.

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.