Active NPI
Pamela Hartnell
- Contractor
- Park Ridge, IL
National Provider Identifier
1043610181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 227010516
- Practice address
- 678 N Northwest Hwy
Unit C
Park Ridge, IL 60068-2540 - Phone
- (847) 696-0040
- Fax
- (847) 696-2519
- NPI assigned
- Aug 26, 2014
- Last updated
- Aug 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 227010516 | IL | Primary |
Addresses
Primary practice location
678 N Northwest Hwy
Unit C
Park Ridge, IL 60068-2540
Mailing address
678 N Northwest Hwy
Unit C
Park Ridge, IL 60068-2540
Phone (847) 696-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227010516 | IL | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Chiropractic Associates LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Parkway Chiropractic Center
- Chiropractor
- Park Ridge, IL
- NPI 1538422340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1043610181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 N NORTHWEST HWY",
"address_2": "UNIT C",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682540",
"telephone_number": "847-696-0040",
"fax_number": "847-696-2519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 N NORTHWEST HWY",
"address_2": "UNIT C",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600682540",
"telephone_number": "847-696-0040",
"fax_number": "847-696-2519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTNELL",
"first_name": "PAMELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "IL",
"license": "227010516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.