DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC – NPI #1831780303
Clinic/Center

DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1831780303 to DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC on January 28, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QH0100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Health Service

The NPI profile was previously updated about 5 years ago on Jan 30, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC below.

NPI Profile for
DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC

NPI Number
1831780303
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR SPINE CHIROPRACTIC AND ACUPUNCTURE LLC
Primary location
561 W DIVERSEY PKWY STE 221
CHICAGO, IL 60614-1682
Phone: (864) 401-2113 Fax:
Mailing address
3550 N LAKE SHORE DR APT 2220
CHICAGO, IL 60657-7869
Phone: (864) 401-2113 Fax:
Organization Subpart
No
Authorized Official
ANDRETTI MONTALVO
CHIROPRACTOR MANAGER
Phone: (864) 401-2113
Updated
Certification Date
Jan 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QH0100X
- Clinic/Center / Health Service (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.