Nicole A Pawola, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012723 Issued in IL

Practice address

366 S Main St
Bartlett, IL 60103

Phone

(630) 837-3707

Fax

(630) 837-3706

NPI assigned

Nov 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole A Hybl Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Family Chiropractic, LTD.Group PAC ID 5092716704, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Balance Family Chiropractic, LTD.

  • Chiropractor
  • Bartlett, IL
  • NPI 1194875427
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1386040707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034423",
            "telephone_number": "630-837-3707",
            "fax_number": "630-837-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 S MAIN ST",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "60103",
            "telephone_number": "630-837-3707",
            "fax_number": "630-837-3706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "776 W Bartlett Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601034482",
            "country_code": "US",
            "telephone_number": "630-837-3707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAWOLA",
        "first_name": "NICOLE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HYBL",
            "middle_name": "A",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shreya Patel, DO
• Shruti Patel, BPT
• Shweta Patel, RPH
• Vinod M. Patel, MD
• Arpit J Pathak, DPT
• Scott Marshal Payne, DC
• Rory M Perry, OTR/L
• Kyle S. Peterson, D.P.M.
• Daniela Petrova
• Steven Ryan Petzel, DC

• Chiropractor in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.