Individual provider Active NPI

Michael Hall, D.C.

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1144614587
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012703 Issued in IL
Practice address
1811 Freedom Dr Ste 117
Naperville, IL 60563-5703
Phone
(815) 690-5218
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012703 IL Primary

Addresses

Primary practice location

1811 Freedom Dr Ste 117
Naperville, IL 60563-5703

Mailing address

1811 Freedom Dr Ste 117
Naperville, IL 60563-5703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001298 IL Practitioner - Chiropractic 1557690138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Brook Medical Group LTDGroup PAC ID 6901157239, 4 clinicians

Practice addresses (Care Compare)

2603 W 22ND St
Suite 22
Oak Brook, IL 60523-4637
Phone (630) 317-7478

970 E 9TH St
Lockport, IL 60441-3235
Phone (815) 690-5218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012703ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Brook Medical Group LTD CurrentSince Jun 1, 2021 Accepting new patients
Ascend Performance and Recovery LLC Chiropractor CurrentSince May 4, 2026 Accepting new patients

Locations

970 E 9th St
Lockport, IL 60441
Phone (815) 690-5218

2603 W 22nd St
Ste 22
Oak Brook, IL 60523
Phone (630) 317-7478

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1144614587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605635703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 FREEDOM DR STE 117",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605635703",
            "telephone_number": "815-690-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.

Verify at the official NPI Registry.