Michael J Heatwole Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010455 Issued in IL

Legal business name

MICHAEL J HEATWOLE CHIROPRACTIC INC

Doing business as

River Forest Chiropractic

Practice address

7367 W North Ave
River Forest, IL 60305-1230

Phone

(708) 366-0066

Fax

(708) 366-0044

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Justin Heatwole, DCNPI 1457334567

Title

President

Phone

(708) 366-0066

Specialties & licenses 1

Addresses

Other names 1

• River Forest Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J. Heatwole, D.C.

  • Chiropractor
  • River Forest, IL
  • NPI 1457334567
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1548357114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 W 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 W NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-366-0066",
            "fax_number": "708-366-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J HEATWOLE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "HEATWOLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-366-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Forest Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Annette Melyn, MD
• Araceli Mendoza, FNP-BC
• Lucya Angelica Mendoza
• Scott M Mercola, MD
• Merit Center for Sleep Health of Oak Park, LLC
• Paul David Michaels, D.C.
• Midwest Express Care 2, Inc
• Clara May Miller, R.N.
• William Millman, M.D.
• Gayla M Morales, OTR/L

• 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 Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.