LA CLINICA SC
NPI 1336504471
Chiropractor in Chicago, IL

Active since December 16, 2015
4123 W FULLERTON AVE, CHICAGO, IL 60639(773) 278-9525(708) 337-9135 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Clinica Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LA CLINICA SC (NPI 1336504471) is a healthcare organization registered as a chiropractor in Chicago, Illinois and active in the NPI registry since December 2015. The organization lists Eugene Jao, Owner, as its authorized official.

NPPES Registry Identity

NPI1336504471
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLA CLINICA SC
Location Address4123 W FULLERTON AVEChicago, IL 60639-2105
Mailing AddressPo Box 4782Chicago, IL 60680-4782 · (773) 278-9525 · Fax (708) 337-9135
Fax(708) 337-9135
Organization SubpartNo
Authorized OfficialEugene JaoOwner · (312) 961-6611
Enumeration DateDecember 16, 2015
NPI 1336504471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in IL · 042620268
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4123 W FULLERTON AVE, Chicago, IL 60639

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
4123 W FULLERTON AVE
CHICAGO, IL 60639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Clinica Sc's NPI number?

The NPI number for La Clinica Sc is 1336504471. It was assigned to this organization in the NPPES registry on December 16, 2015.

Where is La Clinica Sc located?

La Clinica Sc is located at 4123 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 278-9525.

What is La Clinica Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for La Clinica Sc was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.