Active NPI
Janki Jayanti Bodalia, D.C.
- Chiropractor
- Wheaton, IL
National Provider Identifier
1275987547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X012829-1
- Practice address
- 1751 S Naperville Rd Ste 107
Wheaton, IL 60189-5896 - Phone
- (626) 848-9142
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013246 | IL | |
| Chiropractor | 111N00000X | X012829-1 | NY | Primary |
Addresses
Primary practice location
1751 S Naperville Rd Ste 107
Wheaton, IL 60189-5896
Mailing address
2720 S Highland Ave Apt 755
Lombard, IL 60148-7156
Phone (626) 848-9142
Other practice location 1
165 Warsaw St
Suite 472
Depew, NY 14043-7099
Phone (626) 848-9142
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 |
|---|---|---|---|
| 038013246 | IL | MD | Chiropractor |
| X012829-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Back and Joint PLLC | 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.
-
- Sports Medicine (Family Medicine) Physician
- Orland Park, IL
- NPI 1750985214
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1275987547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 S HIGHLAND AVE APT 755",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601487156",
"telephone_number": "626-848-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 S NAPERVILLE RD STE 107",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895896",
"telephone_number": "626-848-9142"
}
],
"practiceLocations": [
{
"address_1": "165 Warsaw St",
"address_2": "Suite 472",
"address_purpose": "LOCATION",
"city": "Depew",
"state": "NY",
"postal_code": "140437099",
"country_code": "US",
"telephone_number": "626-848-9142",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BODALIA",
"first_name": "JANKI",
"middle_name": "JAYANTI",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013246",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X012829-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.