Individual provider Active NPI

J Allen Chvala Jr., DPM

  • Podiatrist
  • Wheaton, IL
National Provider Identifier
1306847975
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
162691 Issued in IL
Practice address
705 Warrenville Rd
Unit B
Wheaton, IL 60189-6379
Phone
(630) 668-8277
Fax
(630) 668-3358
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 162691 IL Primary

Addresses

Primary practice location

705 Warrenville Rd
Unit B
Wheaton, IL 60189-6379

Mailing address

705 Warrenville Rd
Unit B
Wheaton, IL 60189-6379
Phone (630) 668-8277

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

LicenseStateTypeSpecialty
162691ILMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1306847975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WARRENVILLE RD",
            "address_2": "UNIT B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896379",
            "telephone_number": "630-668-8277",
            "fax_number": "630-668-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WARRENVILLE RD",
            "address_2": "UNIT B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601896379",
            "telephone_number": "630-668-8277",
            "fax_number": "630-668-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHVALA",
        "first_name": "J",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "162691",
            "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 Sep 19, 2008; 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.