NPIMap

Organization Active NPI

Avalon Chiropractic P.C.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Chicago, IL
National Provider Identifier
1396966933
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
038009186 Issued in IL
Legal business name
AVALON CHIROPRACTIC P.C.
Practice address
1480 W Catalpa Ave
Chicago, IL 60640-1212
Phone
(773) 275-7977
Fax
(773) 275-7978
NPI assigned
May 1, 2007
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Dr. Steven A Hettinger, D.C.NPI 1598893513
Title
President
Phone
(773) 275-7977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 038009186 IL Primary

Addresses

Primary practice location

1480 W Catalpa Ave
Chicago, IL 60640-1212

Mailing address

1480 W Catalpa Ave
Chicago, IL 60640-1212
Phone (773) 275-7977

National Provider Directory

National Provider Directory

Locations

1480 W Catalpa Ave
Chicago, IL 60640
Phone (773) 275-7977

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1396966933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 W CATALPA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401212",
            "telephone_number": "773-275-7977",
            "fax_number": "773-275-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 W CATALPA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401212",
            "telephone_number": "773-275-7977",
            "fax_number": "773-275-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "HETTINGER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-7977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "IL",
            "license": "038009186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.