Active NPI
Soheila Vahabi
- Orthopedic Chiropractor
- Chicago, IL
National Provider Identifier
1184805947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 38008001
- Practice address
- 4705 N Lincoln Ave
Chicago, IL 60625-2009 - Phone
- (312) 774-0010
- NPI assigned
- Nov 21, 2007
- Last updated
- Apr 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 38008001 | IL | Primary |
Addresses
Primary practice location
4705 N Lincoln Ave
Chicago, IL 60625-2009
Mailing address
1603 Orrington Ave Ste 600
Evanston, IL 60201-3860
Phone (312) 774-0010
Other names 1
- Soheila Vahabi
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38008001 | IL | MD | Orthopedic Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1184805947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 ORRINGTON AVE STE 600",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013860",
"telephone_number": "312-774-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252009",
"telephone_number": "312-774-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAHABI",
"first_name": "SOHEILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "38008001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOHEILA",
"last_name": "VAHABI",
"credential": "DC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.