Pamela L Tickel DC Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038.003947 Issued in IL

Legal business name

PAMELA L TICKEL DC INC.

Practice address

400 N Wells St Ste 340
Chicago, IL 60654-2761

Phone

(513) 965-1851

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Louise Tickel, DC

Title

Owner / Provider

Phone

(513) 965-1851

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Dr. Pamela Tickel Chiropractor Doing business as
• TICKEL CHIROPRACTIC INC Doing business as

Locations

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1164939369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N WELLS ST STE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542761",
            "telephone_number": "513-965-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N WELLS ST STE 340",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542761",
            "telephone_number": "513-965-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA L TICKEL DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TICKEL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "513-965-1851",
        "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": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038.003947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902903255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Pamela Tickel Chiropractor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TICKEL CHIROPRACTIC INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simy Paluvelil Mathew, DMD, BDS
• Pam Eernisse DPM SC
• Pam Eernisse DPM SC
• Pamela E Smith MD MPH Ches SC
• Pamela E Smith MD MPH Ches SC
• Janssen Barlaan Pamfilo
• Sushmita Pamidi, M.D.
• Rodolfo Pamintuan, M.D.
• Alexander Y Pan, MD
• Christine Ting-Fu Pan, D.C.

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.