Phung Van, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011889 Issued in IL

Practice address

9324 S Roberts Rd
Suite 1N
Hickory Hills, IL 60457-3800

Phone

(708) 598-3429

Fax

(708) 575-0891

NPI assigned

Jan 25, 2011

Last updated

Mar 29, 2013By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chiropractic Health Group, LLC

  • Chiropractor
  • Hickory Hills, IL
  • NPI 1619226628
  NPD (past)

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1528363363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 S ROBERTS RD",
            "address_2": "SUITE 1N",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573800",
            "telephone_number": "708-598-3429",
            "fax_number": "708-575-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 S ROBERTS RD",
            "address_2": "SUITE 1N",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604573800",
            "telephone_number": "708-598-3429",
            "fax_number": "708-575-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "PHUNG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jelena Tomic
• Kathleen Patricia Torrez
• Trust Shuttle
• Gina Marie Urso
• Usrc Hickory Hills. LLC (US Renal Care Hickory Hills Dialysis)
• Guadalupe M Villa
• Benjamin Villafane Jr., LAB TECHNICIAN
• Joanna Voutiritsas, PHARM.D.
• Walgreen Co (Walgreens #05684)
• Walgreen Co (Walgreens #05139)

• Chiropractor in Hickory Hills, IL
• Providers in Hickory Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.