Active NPI
Ahmad Drea, DC
- Chiropractor
- Tinley Park, IL
National Provider Identifier
1245945146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013926
- Practice address
- 16651 Theresa LN Apt 2S
Tinley Park, IL 60477-6874 - Phone
- (708) 907-0044
- NPI assigned
- Jan 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013926 | IL | Primary |
Addresses
Primary practice location
16651 Theresa LN Apt 2S
Tinley Park, IL 60477-6874
Mailing address
16651 Theresa LN Apt 2S
Tinley Park, IL 60477-6874
Phone (708) 907-0044
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 |
|---|---|---|---|
| 038.013926 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheaton Medical SC | Chiropractor | Current | Accepting new patients |
Locations
640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1245945146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16651 THERESA LN APT 2S",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776874",
"telephone_number": "708-907-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16651 THERESA LN APT 2S",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776874",
"telephone_number": "708-907-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREA",
"first_name": "AHMAD",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.