Active NPI
King Chiropractic Specialists, Inc.
- Sports Physician Chiropractor
- River Forest, IL
National Provider Identifier
1992824742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- KING CHIROPRACTIC SPECIALISTS, INC.
- Practice address
- 7363 W. North Ave
River Forest, IL 60305-1230 - Phone
- (708) 209-1155
- Fax
- (708) 209-1926
- NPI assigned
- Mar 29, 2007
- 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. Doreen I King, D.C.
- Title
- Owner
- Phone
- (708) 209-1155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | IL | Primary |
Addresses
Primary practice location
7363 W. North Ave
River Forest, IL 60305-1230
Mailing address
7363 W. North Ave
River Forest, IL 60305-1230
Phone (708) 209-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457361495 | Other | IL | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- River Forest, IL
- NPI 1235472127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992824742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7363 W. NORTH AVE",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051230",
"telephone_number": "708-209-1155",
"fax_number": "708-209-1926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7363 W. NORTH AVE",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051230",
"telephone_number": "708-209-1155",
"fax_number": "708-209-1926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KING CHIROPRACTIC SPECIALISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "DOREEN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-209-1155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1457361495",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in River Forest, IL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.