Individual provider Active NPI

Jill T Correa, D.N.

  • Naprapath
  • Chicago, IL
National Provider Identifier
1174729453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
Practice address
525 W Aldine Ave
302
Chicago, IL 60657-3775
Phone
(773) 853-9109
Fax
(773) 248-7020
NPI assigned
Jun 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X IL Primary

Addresses

Primary practice location

525 W Aldine Ave
302
Chicago, IL 60657-3775

Mailing address

525 W Aldine Ave
302
Chicago, IL 60657-3775
Phone (773) 853-9109

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

LicenseStateTypeSpecialty
181.000339ILMDNaprapath

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174729453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W ALDINE AVE",
            "address_2": "302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573775",
            "telephone_number": "773-853-9109",
            "fax_number": "773-248-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W ALDINE AVE",
            "address_2": "302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573775",
            "telephone_number": "773-853-9109",
            "fax_number": "773-248-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JILL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.