NPIMap

Organization Active NPI

Team Anti-Aging Center Inc

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1972951747
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038005767 Issued in IL
Legal business name
TEAM ANTI-AGING CENTER INC
Practice address
222 W Ontario St
Suite 503
Chicago, IL 60654-3652
Phone
(773) 735-5200
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. James E Stoxen, DC
Title
President
Phone
(773) 735-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038005767 IL Primary

Addresses

Primary practice location

222 W Ontario St
Suite 503
Chicago, IL 60654-3652

Mailing address

222 W Ontario St
Suite 503
Chicago, IL 60654-3652
Phone (773) 735-5200

National Provider Directory

National Provider Directory
Tax ID family
Team Anti-Aging Center Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1972951747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W ONTARIO ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543652",
            "telephone_number": "773-735-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W ONTARIO ST",
            "address_2": "SUITE 503",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543652",
            "telephone_number": "773-735-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM ANTI-AGING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "STOXEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-735-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005767",
            "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 Jun 2, 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.