Active NPI
Alex Zevan III, DC, FIACA, DABCI
- Internist Chiropractor
- Bloomingdale, IL
National Provider Identifier
1225120876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 038-007306
- Practice address
- 109 1St St
Bloomingdale, IL 60108-1219 - Phone
- (630) 539-5822
- Fax
- (630) 539-5823
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 038-007306 | IL | Primary |
Addresses
Primary practice location
109 1St St
Bloomingdale, IL 60108-1219
Mailing address
PO Box 6548
Bloomingdale, IL 60108-6548
Phone (630) 539-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222-0421 | Other | IL | BLUE CROSS/BLUE SHIELD |
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 |
|---|---|---|---|
| 038-007306 | IL | MD | Internist Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1225120876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6548",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601086548",
"telephone_number": "630-539-5822",
"fax_number": "630-539-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 1ST ST",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601081219",
"telephone_number": "630-539-5822",
"fax_number": "630-539-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEVAN",
"first_name": "ALEX",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DC, FIACA, DABCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "IL",
"license": "038-007306",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "222-0421",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.