Individual provider Active NPI

Airn Houlahan, DC

  • Chiropractor
  • El Paso, IL
National Provider Identifier
1275089237
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012986 Issued in IL
Practice address
17 Westgate Dr
El Paso, IL 61738-1485
Phone
(309) 527-2304
Fax
(309) 527-2307
NPI assigned
Aug 30, 2016
Last updated
Oct 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012986 IL Primary

Addresses

Primary practice location

17 Westgate Dr
El Paso, IL 61738-1485

Mailing address

1932 S Main St
Eureka, IL 61530-1666
Phone (309) 467-5000

Other practice location 1

402 N Plum St
Pontiac, IL 61764-1817
Phone (815) 844-4631 ext. 44631

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Body Medical Wellness LTD CurrentSince Apr 1, 2017 Accepting new patients

Locations

402 N Plum St
Pontiac, IL 61764
Phone 8158444631 ext. 44631

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1275089237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 S MAIN ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301666",
            "telephone_number": "309-467-5000",
            "fax_number": "309-467-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTGATE DR",
            "city": "EL PASO",
            "state": "IL",
            "postal_code": "617381485",
            "telephone_number": "309-527-2304",
            "fax_number": "309-527-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Plum St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617641817",
            "country_code": "US",
            "telephone_number": "815-844-4631 x44631",
            "fax_number": "815-844-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULAHAN",
        "first_name": "AIRN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.