Active NPI
Healthy Connection Chiropractic & Rehabilitations
- Chiropractor
- Lockport, IL
National Provider Identifier
1528074895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEALTHY CONNECTION CHIROPRACTIC & REHABILITATIONS
- Practice address
- 16547 W 159TH St
Lockport, IL 60441-7900 - Phone
- (815) 834-9075
- Fax
- (815) 834-9077
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Puodziunas
- Title
- Office Manager
- Phone
- (815) 834-9075
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
16547 W 159TH St
Lockport, IL 60441-7900
Mailing address
16547 W 159TH St
Lockport, IL 60441-7900
Phone (815) 834-9075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932008 | Other | IL | BC/BS PROVIDER # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- St Petersburg, FL
- NPI 1528064110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1528074895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16547 W 159TH ST",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604417900",
"telephone_number": "815-834-9075",
"fax_number": "815-834-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16547 W 159TH ST",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604417900",
"telephone_number": "815-834-9075",
"fax_number": "815-834-9077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY CONNECTION CHIROPRACTIC & REHABILITATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PUODZIUNAS",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "815-834-9075"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "09932008",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.