Angie Recendez, D.C.

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

038012327 Issued in IL

Practice address

4614 S Western Ave
Chicago, IL 60609-4040

Phone

(773) 563-4434

NPI assigned

Apr 17, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Healthy Start Chiropractic PC

  • Chiropractor
  • Chicago, IL
  • NPI 1639860802
  NPD Authorized official

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1326435272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094040",
            "telephone_number": "630-923-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094040",
            "telephone_number": "773-563-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECENDEZ",
        "first_name": "ANGIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038012327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Alberto Rebolledo
• Limariz Rebolledo
• Reboot Therapy PLLC
• Jessica Irene Rebstock, FNP-C
• Sofia Malena Rebull
• Michelle Recendez
• Albert Jacob Rechenmacher, MD
• Bradley Paul Recht, M.D.
• Hannah Stephanie Recht, M.D.
• Cindy Recinos-Alegre, LCPC

• Pediatric Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2016; 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.