Organization Active NPI

Hazen Chiropractic Clinic

  • Chiropractor
  • Prospect Heights, IL
National Provider Identifier
1104048057
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HAZEN CHIROPRACTIC CLINIC
Practice address
620 N Milwaukee Ave
Prospect Heights, IL 60070-2353
Phone
(847) 520-7444
Fax
(847) 520-7453
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald Anothony Hazen, D.C.NPI 1164588117
Title
Prop.
Phone
(847) 520-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

620 N Milwaukee Ave
Prospect Heights, IL 60070-2353

Mailing address

620 N Milwaukee Ave
Prospect Heights, IL 60070-2353
Phone (847) 520-7444

Other identifiers 1

IdentifierTypeStateIssuer
0161814OtherILBLUE CROSS NO.

National Provider Directory

National Provider Directory

Locations

620 N Milwaukee Ave
Prospect Hts, IL 60070
Phone (847) 520-7444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104048057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MILWAUKEE AVE",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702353",
            "telephone_number": "847-520-7444",
            "fax_number": "847-520-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MILWAUKEE AVE",
            "city": "PROSPECT HEIGHTS",
            "state": "IL",
            "postal_code": "600702353",
            "telephone_number": "847-520-7444",
            "fax_number": "847-520-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "ANOTHONY",
        "authorized_official_title_or_position": "PROP.",
        "authorized_official_telephone_number": "847-520-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NO.",
            "identifier": "0161814",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.