Active NPI
Loop Spine & Sports Center, LTD.
- Sports Physician Chiropractor
- Chicago, IL
National Provider Identifier
1972975464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038007857
- Legal business name
- LOOP SPINE & SPORTS CENTER, LTD.
- Practice address
- 30 N Michigan Ave Ste 605
Chicago, IL 60602-3806 - Phone
- (312) 422-0042
- NPI assigned
- Oct 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Renald Alexander Trottier, D.C.
- Title
- President
- Phone
- (312) 422-0042
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038007857 | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave Ste 605
Chicago, IL 60602-3806
Mailing address
6480 Cherokee Dr
Indian Head Park, IL 60525-4321
Phone (312) 437-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
30 N Michigan Ave
Ste 605
Chicago, IL 60602
Phone (312) 269-5556
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Physician Chiropractor
- Chicago, IL
- NPI 1992922934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520812800000",
"number": "1972975464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 CHEROKEE DR",
"city": "INDIAN HEAD PARK",
"state": "IL",
"postal_code": "605254321",
"telephone_number": "312-437-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE STE 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023806",
"telephone_number": "312-422-0042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOOP SPINE & SPORTS CENTER, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-23",
"last_updated": "2018-03-12",
"status": "A",
"authorized_official_last_name": "TROTTIER",
"authorized_official_first_name": "RENALD",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-422-0042",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038007857",
"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 Mar 12, 2018; 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.