Individual provider Active NPI

Avani Shah, D.C

  • Chiropractor
  • Hanover Park, IL
National Provider Identifier
1316183510
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011279 Issued in IL
Practice address
7315 Cumberland Dr
Hanover Park, IL 60133-2616
Phone
(630) 830-2060
Fax
(630) 448-6687
NPI assigned
Dec 18, 2008
Last updated
Mar 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011279 IL Primary

Addresses

Primary practice location

7315 Cumberland Dr
Hanover Park, IL 60133-2616

Mailing address

7315 Cumberland Dr
Hanover Park, IL 60133-2616
Phone (630) 830-2060

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
Shant PLLC Chiropractor Current Accepting new patients
Adjust Chiropractic LLC Chiropractor Past Accepting new patients

Locations

7315 Cumberland Dr
Hanover Park, IL 60133
Phone (630) 830-2060

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": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1316183510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 CUMBERLAND DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332616",
            "telephone_number": "630-830-2060",
            "fax_number": "630-448-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7315 CUMBERLAND DR",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601332616",
            "telephone_number": "630-830-2060",
            "fax_number": "630-448-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AVANI",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.

Verify at the official NPI Registry.