Provider Demographics
NPI:1538248596
Name:ATLAS CHIROPRACTIC HEALTH CENTER, INC.
Entity type:Organization
Organization Name:ATLAS CHIROPRACTIC HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:MICHAELS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-549-6400
Mailing Address - Street 1:3178 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4509
Mailing Address - Country:US
Mailing Address - Phone:773-549-6400
Mailing Address - Fax:
Practice Address - Street 1:3178 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4509
Practice Address - Country:US
Practice Address - Phone:773-549-6400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCM00104093OtherMALPRACTICE POLICY NUMBER
IL1124101746OtherDR. JAMES J. MICHAELS NPI
ILCM00104093OtherMALPRACTICE POLICY NUMBER
ILU11674Medicare UPIN