Organization Active NPI

Huyvaert Clinic of Chiropractic LTD

  • Chiropractor
  • Glendale Heights, IL
National Provider Identifier
1144492513
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HUYVAERT CLINIC OF CHIROPRACTIC LTD
Practice address
1142 N Main St
Glendale Heights, IL 60139-3506
Phone
(630) 790-0030
Fax
(630) 790-2086
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. Thomas Daniel Huyvaert, D.C., L.ACNPI 1518971902
Title
Owner
Phone
(630) 790-0030

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

1142 N Main St
Glendale Heights, IL 60139-3506

Mailing address

1142 N Main St
Glendale Heights, IL 60139-3506
Phone (630) 790-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080424000518 IL Part B Supplier - Clinic/Group Practice 0749368165 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale Heights, IL

National Provider Directory

National Provider Directory

Locations

1142 N Main St
Glendale Hts, IL 60139
Phone (630) 790-0030

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1144492513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 N MAIN ST",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393506",
            "telephone_number": "630-790-0030",
            "fax_number": "630-790-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 N MAIN ST",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601393506",
            "telephone_number": "630-790-0030",
            "fax_number": "630-790-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUYVAERT CLINIC OF CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "HUYVAERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-790-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.AC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.