Active NPI
Hayes Chiropractic & Physical Therapy Center
- Chiropractor
- Glen Ellyn, IL
National Provider Identifier
1558522052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038006943
- Legal business name
- HAYES CHIROPRACTIC & PHYSICAL THERAPY CENTER
- Practice address
- 435 Taft Ave
Glen Ellyn, IL 60137-6295 - Phone
- (630) 790-1010
- Fax
- (630) 790-1091
- NPI assigned
- Jun 18, 2008
- 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
- Dr. John Keith Hayes, DC
- Title
- Owner
- Phone
- (630) 790-1010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038006943 | IL | Primary |
Addresses
Primary practice location
435 Taft Ave
Glen Ellyn, IL 60137-6295
Mailing address
435 Taft Ave
Glen Ellyn, IL 60137-6295
Phone (630) 790-1010
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285678144 | Other | TYPE 1 NPI NUMBER | |
| 038006943 | Medicaid | IL | |
| 1619060 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
435 Taft Ave
Glen Ellyn, IL 60137
Phone (630) 469-0915
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Glen Ellyn, IL
- NPI 1285678144
-
- Physical Therapist
- Glen Ellyn, IL
- NPI 1033274386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1558522052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 TAFT AVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376295",
"telephone_number": "630-790-1010",
"fax_number": "630-790-1091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 TAFT AVE",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601376295",
"telephone_number": "630-790-1010",
"fax_number": "630-790-1091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAYES CHIROPRACTIC & PHYSICAL THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-790-1010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038006943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI NUMBER",
"identifier": "1285678144",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038006943",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1619060",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.