Batavia Physical Medicine, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BATAVIA PHYSICAL MEDICINE, SC

Practice address

119 S Batavia Ave
Batavia, IL 60510-2450

Phone

(630) 482-2214

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Wayne Hajzl, D.C.

Title

Owner

Phone

(630) 482-2214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1194924803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102450",
            "telephone_number": "630-482-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102450",
            "telephone_number": "630-482-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATAVIA PHYSICAL MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "HAJZL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-482-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kari Batka
• Laura Battistoni
• David Moritz Bauer, LCPC, CADC

• Chiropractor in Batavia, IL
• Providers in Batavia, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.