Advantage Chiropractic and Rehabilitation, SC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

ADVANTAGE CHIROPRACTIC AND REHABILITATION, SC

Practice address

4809 W 95TH St
Oak Lawn, IL 60453-2501

Phone

(708) 425-0770

Fax

(708) 425-0880

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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. James Clayton Shroba, D.C.NPI 1427121763

Title

President

Phone

(708) 425-0770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• James C. Shroba, D.C.

  • Sports Physician Chiropractor
  • Oak Lawn, IL
  • NPI 1427121763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982823266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-425-0770",
            "fax_number": "708-425-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532501",
            "telephone_number": "708-425-0770",
            "fax_number": "708-425-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE CHIROPRACTIC AND REHABILITATION, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHROBA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CLAYTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-425-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adva-Med Surgical Association Inc (NCDS Ambulatory Care Center)
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• Advanced Eyecare Professionals, P.C.
• Advanced Orthopedic & Spine Care
• Advanced Rehabilitaion Services Inc
• Advantage Pharmacy Inc.
• Advocate Children's Hospital
• Advocate Christ Hospital
• Advocate Christ Medical Center
• Advocate Christ Medical Center

• Sports Physician Chiropractor in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.