DR. SITSADAPHONE PHETCHAMPHONE DC
NPI 1780739284
Chiropractor in Chicago, IL

Active since January 24, 2007
1157 W 18TH ST, CHICAGO, IL 60608(312) 344-1632 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sitsadaphone Phetchamphone Dc NPPES

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

DR. SITSADAPHONE PHETCHAMPHONE DC (NPI 1780739284) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038-010281) and active in the NPI registry since January 2007. He maintains a secondary practice location in La Porte.

NPPES Registry Identity

NPI1780739284
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SITSADAPHONE PHETCHAMPHONECredential: DC
Location Address1157 W 18TH STChicago, IL 60608
Mailing Address1157 W 18th StChicago, IL 60608-2387 · (312) 344-1632
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 8, 2019
NPI 1780739284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses Licensed in IL · 038-010281 Licensed in IL · 038010281
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.

1157 W 18TH ST, Chicago, IL 60608

Secondary Practice Location 1

Location 1504 Legacy Plz W, LA PorteLA Porte, IN 46350-5254 · Phone (219) 326-7246

Other Identifiers 1

Other2232625IL · Blue Cross Blue Shield

Other Providers at the Same Location NPPES 2

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

Chiropractor
1157 W 18TH ST
CHICAGO, IL 60608
Clinic/Center (Health Service)
1157 W 18TH ST
CHICAGO, IL 60608

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 Sitsadaphone Phetchamphone's NPI number?

The NPI number for Sitsadaphone Phetchamphone is 1780739284. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Sitsadaphone Phetchamphone located?

Sitsadaphone Phetchamphone practices at 1157 W 18th St, Chicago, IL 60608. The listed phone number is (312) 344-1632.

What is Sitsadaphone Phetchamphone'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 Sitsadaphone Phetchamphone was last updated on February 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.