Active NPI
Michelle Blanton, DC
- Chiropractor
- Oak Forest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012830
- Practice address
- 5424 159TH St
Oak Forest, IL 60452-3248 - Phone
- (708) 577-5003
- NPI assigned
- Jul 14, 2015
- Last updated
- Mar 17, 2018
- Sex
- Female
- 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 | 038.012830 | IL | Primary |
Addresses
Primary practice location
5424 159TH St
Oak Forest, IL 60452-3248
Mailing address
2625 Butterfield Rd Ste 301N
Oak Brook, IL 60523-1266
Phone (630) 468-1824
Other practice location 1
1S132 Summit Ave Ste 307
Oakbrook Terrace, IL 60181-3942
Phone (630) 705-1475
Other practice location 2
1S132 Summit Ave Ste 307
Oakbrook Terrace, IL 60181-3942
Phone (630) 705-1475
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
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16335 Harlem Ave
Suite 150 2
Tinley Park, IL 60477-2574
Phone (708) 829-3941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012830 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Oak Forest LLC | Chiropractor | Current | Accepting new patients |
| Xclusive Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
2625 Butterfield Rd
Ste 301N
Oak Brook, IL 60523
Phone (800) 613-0922
5424 159th St
Oak Forest, IL 60452
Phone (708) 577-5003
16335 Harlem Ave
Ste 1502
Tinley Park, IL 60477
Phone (708) 829-3941
Organizations & group practices 2
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
- Tinley Park, IL
- NPI 1861235863
-
- Chiropractor
- Oak Forest, IL
- NPI 1649599291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083098644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD STE 301N",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231266",
"telephone_number": "630-468-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 159TH ST",
"city": "OAK FOREST",
"state": "IL",
"postal_code": "604523248",
"telephone_number": "708-577-5003"
}
],
"practiceLocations": [
{
"address_1": "1S132 Summit Ave Ste 307",
"address_purpose": "LOCATION",
"city": "Oakbrook Terrace",
"state": "IL",
"postal_code": "601813942",
"country_code": "US",
"telephone_number": "630-705-1475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1S132 Summit Ave Ste 307",
"address_purpose": "LOCATION",
"city": "Oakbrook Terrace",
"state": "IL",
"postal_code": "601813942",
"country_code": "US",
"telephone_number": "630-705-1475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLANTON",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.