Active NPI
Mary J Huffman, D.C.
- Chiropractor
- Chicago, IL
National Provider Identifier
1649317009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 520 W Erie St
LL20
Chicago, IL 60610-4271 - Phone
- (312) 440-0477
- Fax
- (312) 440-0737
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
520 W Erie St
LL20
Chicago, IL 60610-4271
Mailing address
5224 N Damen Ave
Unit 2
Chicago, IL 60625-1348
Phone (312) 440-0477
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010178 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649317009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 N DAMEN AVE",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251348",
"telephone_number": "312-440-0477",
"fax_number": "312-440-0737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W ERIE ST",
"address_2": "LL20",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606104271",
"telephone_number": "312-440-0477",
"fax_number": "312-440-0737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "MARY",
"middle_name": "J",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.