Hickory Medical Corporation, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007128 Issued in IL

Legal business name

HICKORY MEDICAL CORPORATION, S.C.

Doing business as

Midwest Chiropractic Care Center

Practice address

9100 S Roberts Road
Hickory Hills, IL 60457

Phone

(708) 430-9999

Fax

(708) 430-9057

NPI assigned

Aug 30, 2006

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen J Gallagher, DCNPI 1609073733

Title

President

Phone

(708) 430-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Midwest Chiropractic Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen J Gallagher, DC

  • Chiropractor
  • Hickory Hills, IL
  • NPI 1609073733
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1063522159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 S ROBERTS ROAD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "60457",
            "telephone_number": "708-430-9999",
            "fax_number": "708-430-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 S ROBERTS ROAD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "60457",
            "telephone_number": "708-430-9999",
            "fax_number": "708-430-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY MEDICAL CORPORATION, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-430-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31623170",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Chiropractic Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthy Connection Hickory Hills Inc
• Daniel Joseph Healy, DDS
• Moutaz Hemaidat
• Sarah Maria Henry, MS
• Hickory Dentistry LLC
• Hickory Nursing Pavilion
• Hickory Village Nursing and Rehabilitation Center LLC
• Highland Park CVS, L.L.C. (CVS Pharmacy # 00834)
• Home Care Services of USA
• Edwin Andrew Huels III, PHARM D

• Chiropractor in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.