Organization Active NPI

Hillgrove Family Chiropractic

  • Chiropractor
  • La Grange, IL
National Provider Identifier
1396049771
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-006294 Issued in IL
Legal business name
HILLGROVE FAMILY CHIROPRACTIC
Practice address
817 W Hillgrove Ave
La Grange, IL 60525-5822
Phone
(708) 352-4866
Fax
(708) 352-1387
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Ms. Janice Marie Posch
Title
Office Manager
Phone
(708) 352-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-006294 IL Primary

Addresses

Primary practice location

817 W Hillgrove Ave
La Grange, IL 60525-5822

Mailing address

817 W Hillgrove Ave
La Grange, IL 60525-5822
Phone (708) 352-4866

Other identifiers 1

IdentifierTypeStateIssuer
1618016OtherILBLUE CROSS AND BLUE SHILED OF ILLINOIS

Other names 1

  • Richard Kupcho Other name

National Provider Directory

National Provider Directory

Locations

817 W Hillgrove Ave
Lagrange Hlds, IL 60525
Phone (708) 352-4866

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1396049771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W HILLGROVE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255822",
            "telephone_number": "708-352-4866",
            "fax_number": "708-352-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W HILLGROVE AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255822",
            "telephone_number": "708-352-4866",
            "fax_number": "708-352-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLGROVE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "POSCH",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-352-4866",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHILED OF ILLINOIS",
            "identifier": "1618016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Kupcho",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.