Harriett Mae Hidalgo Chan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012377 Issued in IL

Practice address

7363 North Ave
River Forest, IL 60305-1230

Phone

(708) 209-1155

Fax

(708) 209-1926

NPI assigned

Mar 29, 2013

Last updated

Jun 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Harriett Mae Chan Sumang Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optimal Balance Chiropractic LLC

  • Chiropractor
  • River Forest, IL
  • NPI 1104487602
  Medicare reassignment NPD Authorized official
• King Chiropractic Specialists, Inc.

  • Sports Physician Chiropractor
  • River Forest, IL
  • NPI 1992824742
  NPD

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1235472127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "630-873-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7363 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-209-1155",
            "fax_number": "708-209-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2833 N Natoma Ave",
            "address_2": "Unit 203",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606344868",
            "country_code": "US",
            "telephone_number": "630-873-9841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "HARRIETT MAE",
        "middle_name": "HIDALGO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIETT MAE",
            "last_name": "SUMANG",
            "middle_name": "CHAN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cayr Connections
• Donna Joy Cech, PT
• Centre Physical Therapy River Forest LLC
• Kimberly Cepak
• Andrew W Chan, PA-C
• Justin Chediak, MD
• Mary Susan Chen, PT
• Mani Chhibba, O.D.
• Chicago Neurological Services, LTD
• Patrick Chun, ATC

• Chiropractor in River Forest, IL
• Providers in River Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.