Individual provider Active NPI

Alicia Anna Vulchev, DC

  • Chiropractor
  • Bloomingdale, IL
National Provider Identifier
1295322444
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013221 Issued in IL
Practice address
1 Tiffany PT Ste 105
Bloomingdale, IL 60108-2915
Phone
(630) 980-1400
Fax
(630) 980-1441
NPI assigned
Dec 22, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013221 IL Primary

Addresses

Primary practice location

1 Tiffany PT Ste 105
Bloomingdale, IL 60108-2915

Mailing address

900 Perry Dr
Algonquin, IL 60102-3959
Phone (847) 322-4370

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
038013221ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Clinical Psychologists Limited CurrentSince Dec 27, 2020 Accepting new patients
Center for Integrative and Functional Health and Wellness LLC CurrentSince Nov 10, 2022 Accepting new patients

Locations

1 Tiffany Pt
Ste 105
Bloomingdale, IL 60108
Phone (630) 980-1400

Organizations & group practices 2

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1295322444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PERRY DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023959",
            "telephone_number": "847-322-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 105",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082915",
            "telephone_number": "630-980-1400",
            "fax_number": "630-980-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULCHEV",
        "first_name": "ALICIA",
        "middle_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013221",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 22, 2020; 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.