Active NPI
Heidi Colehour, DC
- Chiropractor
- Loves Park, IL
National Provider Identifier
1568506293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009629
- Practice address
- 6270 E Riverside Blvd
Loves Park, IL 61111-4418 - Phone
- (815) 636-2225
- Fax
- (815) 636-2863
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009629 | IL | Primary |
Addresses
Primary practice location
6270 E Riverside Blvd
Loves Park, IL 61111-4418
Mailing address
6270 E Riverside Blvd
Loves Park, IL 61111-4418
Phone (815) 636-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10132055 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009629 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1568506293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6270 E RIVERSIDE BLVD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114418",
"telephone_number": "815-636-2225",
"fax_number": "815-636-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6270 E RIVERSIDE BLVD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611114418",
"telephone_number": "815-636-2225",
"fax_number": "815-636-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEHOUR",
"first_name": "HEIDI",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038009629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10132055",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.