Hamilton Holistic Healthcare Services

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012677 Issued in IL

Legal business name

HAMILTON HOLISTIC HEALTHCARE SERVICES

Practice address

1518 Camp Jackson Rd
Cahokia, IL 62206-2561

Phone

(618) 337-5700

Fax

(618) 337-7109

NPI assigned

Feb 2, 2017

Last updated

Apr 4, 2018By 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

Derrick Hamilton, DC

Title

Owner

Phone

(618) 337-5700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Steven G Connors, DC

  • Chiropractor
  • Cahokia, IL
  • NPI 1891784823
  NPD (past)
• Paul Evans Dorosheff, D.C.

  • Sports Physician Chiropractor
  • Cahokia, IL
  • NPI 1104863984
  NPD (past)

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1114465853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062561",
            "telephone_number": "618-337-5700",
            "fax_number": "618-337-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062561",
            "telephone_number": "618-337-5700",
            "fax_number": "618-337-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON HOLISTIC HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-337-5700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Cahokia, IL
• Providers in Cahokia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.