Michael J. Heatwole, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

7367 North Ave
River Forest, IL 60305-1230

Phone

(978) 314-9349

NPI assigned

Nov 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael J Heatwole Chiropractic Inc

  dba River Forest Chiropractic

  • Chiropractor
  • River Forest, IL
  • NPI 1548357114
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457334567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-366-0066",
            "fax_number": "708-366-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "978-314-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATWOLE",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007859444",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD IL",
            "identifier": "0002232795",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gladys Annor Gyabaah, PHD
• Christina Marie Haberkorn
• Cheryl A. Harding, M.A. CCC-SLP
• Nicole Jane Harris
• John G Hartmann, D.D.S.
• Beth R. Heiferman, D.D.S.
• Kenneth S Heiferman, MD
• Chardonnay Henry
• Heritage Professional Associates
• Highland Park CVS, L.L.C. (CVS Pharmacy # 03889)

• Chiropractor in River Forest, IL
• Providers in River Forest, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.