Amy Elizabeth Iaquinta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008090 Issued in IL

Practice address

2700 Patriot Blvd Ste 250
Glenview, IL 60026-8021

Phone

(847) 729-1288

Fax

(847) 729-0882

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Amy Shariatzadeh Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Healing, Inc

  • Chiropractor
  • Glenview, IL
  • NPI 1689941247
  Medicare reassignment NPD Authorized official
• Discover Specific Chiropractic Inc

  • Chiropractor
  • Hilton Head Island, SC
  • NPI 1942370465
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649239252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 SUNSET RIDGE RD.",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "847-729-1288",
            "fax_number": "847-729-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PATRIOT BLVD STE 250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268021",
            "telephone_number": "847-729-1288",
            "fax_number": "847-729-0882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1527 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252177",
            "country_code": "US",
            "telephone_number": "847-729-1288",
            "fax_number": "847-729-0882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IAQUINTA",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "SC",
            "license": "2115",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2215",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SHARIATZADEH",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tina Huron, LCSW
• Megan Hutchins, ATC
• Kurt Hutchinson, PT
• Catherine W Hwang, OTR/L
• Reese Hyzer, PHD
• Petria Laura Idita, PA-C
• Melita Nonyerem Igbokwe, MD
• Anna Carmela Gabriel Ignacio, DPT
• Justin Raphael Ignaco, PT, DPT
• Dorota Ignatiuk, PTA

• Chiropractor in Glenview, IL
• Providers in Glenview, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.