Active NPI
Christopher Hasiak, LMT
- Massage Therapist
- Chicago, IL
National Provider Identifier
1154736049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 227013082
- Practice address
- 1322 W Estes Ave
2S
Chicago, IL 60626-5394 - Phone
- (773) 580-7801
- NPI assigned
- Jun 30, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 227013082 | IL | Primary |
Addresses
Primary practice location
1322 W Estes Ave
2S
Chicago, IL 60626-5394
Mailing address
1322 W. Estes
2S
Chicago, IL 60626
Phone (773) 580-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137922 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227013082 | IL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1154736049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 W. ESTES",
"address_2": "2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60626",
"telephone_number": "773-580-7801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 W ESTES AVE",
"address_2": "2S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606265394",
"telephone_number": "773-580-7801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASIAK",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "IL",
"license": "227013082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137922",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.