Organization Active NPI

Holistic Chiropractic and Acupuncture, L.L.C.

  • Chiropractor
  • Hinsdale, IL
National Provider Identifier
1356616957
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012015 Issued in IL
Legal business name
HOLISTIC CHIROPRACTIC AND ACUPUNCTURE, L.L.C.
Practice address
930 N York Rd Ste 100
Hinsdale, IL 60521-3595
Phone
(630) 654-9300
Fax
(630) 608-2855
NPI assigned
Mar 14, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Charles Andrew Maldonado, D.C.NPI 1831467448
Title
Physician
Phone
(630) 206-5606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012015 IL Primary

Addresses

Primary practice location

930 N York Rd Ste 100
Hinsdale, IL 60521-3595

Mailing address

930 N York Rd Ste 100
Hinsdale, IL 60521-3595
Phone (630) 654-9300

Other practice location 1

621 Plainfield Rd
Suite 311
Willowbrook, IL 60527-5343
Phone (630) 206-5606

Other practice location 2

621 Plainfield Rd
Suite 311
Willowbrook, IL 60527-5343
Phone (630) 206-5606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000698 IL Part B Supplier - Clinic/Group Practice 2163684572 Receives reassigned benefits from 1 practitioner
Practice locations: Hinsdale, IL

National Provider Directory

National Provider Directory

Locations

621 Plainfield Rd
Ste 311
Willowbrook, IL 60527
Phone (630) 206-5606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1356616957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213595",
            "telephone_number": "630-654-9300",
            "fax_number": "630-608-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213595",
            "telephone_number": "630-654-9300",
            "fax_number": "630-608-2855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Plainfield Rd",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605275343",
            "country_code": "US",
            "telephone_number": "630-206-5606",
            "fax_number": "630-608-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Plainfield Rd",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Willowbrook",
            "state": "IL",
            "postal_code": "605275343",
            "country_code": "US",
            "telephone_number": "630-206-5606",
            "fax_number": "630-608-2855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC CHIROPRACTIC AND ACUPUNCTURE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-206-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.