Matthew Waln, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008723 Issued in IL

Legal business name

MATTHEW WALN, INC

Practice address

850 Meadowview Xing
Unit 1B
West Chicago, IL 60185-2514

Phone

(630) 876-3812

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Henry Waln, DCNPI 1528130689

Title

President

Phone

(630) 876-3812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew H Waln, D.C.

  • Chiropractor
  • West Chicago, IL
  • NPI 1528130689
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1376717207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MEADOWVIEW XING",
            "address_2": "UNIT 1B",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852514",
            "telephone_number": "630-876-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MEADOWVIEW XING",
            "address_2": "UNIT 1B",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852514",
            "telephone_number": "630-876-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WALN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "WALN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-876-3812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.