Organization Active NPI

Lifeworks Centro de Salud

  • Chiropractor
  • Evanston, IL
National Provider Identifier
1982649364
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010421 Issued in IL
Legal business name
LIFEWORKS CENTRO DE SALUD
Practice address
1954 Dempster St
Evanston, IL 60202-1016
Phone
(847) 475-6442
NPI assigned
Jun 18, 2006
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Jose L. Aguilar Jr., D.C.
Title
Clinic Director
Phone
(847) 475-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010421 IL Primary

Addresses

Primary practice location

1954 Dempster St
Evanston, IL 60202-1016

Mailing address

1954 Dempster St
Evanston, IL 60202-1016
Phone (847) 475-6442

National Provider Directory

National Provider Directory

Locations

1954 Dempster St
Evanston, IL 60202
Phone (847) 475-4545

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1982649364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1954 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-475-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-475-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS CENTRO DE SALUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "847-475-6442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.