NPIMap

Organization Active NPI

Chirodoc,LLC

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1457479016
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.010851 Issued in IL
Legal business name
CHIRODOC,LLC
Practice address
3301 W Main St
Suite One
Belleville, IL 62226-6218
Phone
(618) 277-1774
Fax
(618) 277-1775
NPI assigned
Mar 26, 2007
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Ahmed Hilaly, DCNPI 1457492977
Title
Provider
Phone
(618) 277-1774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.010851 IL Primary

Addresses

Primary practice location

3301 W Main St
Suite One
Belleville, IL 62226-6218

Mailing address

3301 W Main St
Suite One
Belleville, IL 62226-6218
Phone (618) 277-1774

National Provider Directory

National Provider Directory

Locations

3301 W Main St
Ste One
Belleville, IL 62226
Phone (618) 277-1774

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1457479016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W MAIN ST",
            "address_2": "SUITE ONE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266218",
            "telephone_number": "618-277-1774",
            "fax_number": "618-277-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 W MAIN ST",
            "address_2": "SUITE ONE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266218",
            "telephone_number": "618-277-1774",
            "fax_number": "618-277-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRODOC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "HILALY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "618-277-1774",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.