Garrett Ezell DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GARRETT EZELL DC PC

Practice address

7323 Northgate Way Unit 9
Downers Grove, IL 60516-4058

Phone

(312) 451-2707

NPI assigned

Jun 26, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Garrett Preston Ezell, DCNPI 1588067938

Title

Chiropractic Physician

Phone

(312) 451-2707

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett Ezell, D.C.

  • Chiropractor
  • Downers Grove, IL
  • NPI 1588067938
  NPD (past) Authorized official

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1154816775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W WARWICK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342557",
            "telephone_number": "312-451-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7323 NORTHGATE WAY UNIT 9",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164058",
            "telephone_number": "312-451-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT EZELL DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "EZELL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "PRESTON",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "312-451-2707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riya Garapati
• Nubia Carolina Garcia Martinez, DDS
• Mayra Elena Garcia, APRN-FNP BC
• Pablo Garcia, MD
• Glenn Gardner, M.D.
• Gastroenterology Services Endoscopy Suite, LTD
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• Gateway Foundation, Inc.
• Gateway Foundation, Inc. - BHC
• Gateway Professional Services, PC

• Chiropractor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Chiropractor in Illinois

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