Organization Active NPI

Neighborhood Healthcare LLC

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1144575408
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012053 Issued in IL
Legal business name
NEIGHBORHOOD HEALTHCARE LLC
Practice address
180 Partridge LN
Bartlett, IL 60103-4652
Phone
(630) 474-4577
Fax
(630) 749-4497
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Dr. Steven Ryan Petzel, D.C.
Title
Owner
Phone
(630) 474-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012053 IL Primary

Addresses

Primary practice location

180 Partridge LN
Bartlett, IL 60103-4652

Mailing address

180 Partridge LN
Bartlett, IL 60103-4652
Phone (630) 474-4577

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1144575408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARTRIDGE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034652",
            "telephone_number": "630-474-4577",
            "fax_number": "630-749-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARTRIDGE LN",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034652",
            "telephone_number": "630-474-4577",
            "fax_number": "630-749-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "PETZEL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-474-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.