Active NPI
Jeremy Todd Hayes, D.C.
- Chiropractor
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009219
- Practice address
- 3486 Vollmer Rd
Olympia Fields, IL 60461-1018 - Phone
- (708) 481-5444
- Fax
- (708) 481-5495
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009219 | IL | Primary |
Addresses
Primary practice location
3486 Vollmer Rd
Olympia Fields, IL 60461-1018
Mailing address
2625 Butterfield Rd
Suite 301N
Oak Brook, IL 60523-1234
Phone (630) 320-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038009219 | Other | IL | STATE LICENSE |
| 1635702 | Other | IL | BLUE CROSS ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3486 Vollmer Rd
Olympia Fields, IL 60461-1018
Phone (708) 481-5444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009219 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Flossmoor LLC | Chiropractor | Current | Accepting new patients |
| Tremper Healthcare Systems, LTD | Chiropractor | Past | Accepting new patients |
| Celar Chiropractic LTD | Chiropractor | Past | Accepting new patients |
Locations
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922
3486 Vollmer Rd
Olympia Flds, IL 60461
Phone (708) 481-5444
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
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- NPI 1689892929
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- NPI 1639247273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1023051125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD",
"address_2": "SUITE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231234",
"telephone_number": "630-320-6400",
"fax_number": "630-701-1007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3486 VOLLMER RD",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611018",
"telephone_number": "708-481-5444",
"fax_number": "708-481-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JEREMY",
"middle_name": "TODD",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "038009219",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ID #",
"identifier": "1635702",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.