Active NPI
Maher Ghattas, D.C.
- Rehabilitation Chiropractor
- Glendale Heights, IL
National Provider Identifier
1649354291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 38009171
- Practice address
- 209 E Army Trail Rd
Glendale Heights, IL 60139-1758 - Phone
- (630) 671-0555
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 38009171 | IL | Primary |
Addresses
Primary practice location
209 E Army Trail Rd
Glendale Heights, IL 60139-1758
Mailing address
26223 W Lauren Dr
Channahon, IL 60410-5370
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 |
|---|---|---|---|
| 38009171 | IL | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomingdale Chiropractic Clinic | Past | Accepting new patients | |
| Midwest Physical Medicine & Rehab P C | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Independent Medical Examiner Chiropractor
- Glendale Heights, IL
- NPI 1962681080
-
- Chiropractor
- Glendale Heights, IL
- NPI 1528257656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649354291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26223 W LAUREN DR",
"city": "CHANNAHON",
"state": "IL",
"postal_code": "604105370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 E ARMY TRAIL RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391758",
"telephone_number": "630-671-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHATTAS",
"first_name": "MAHER",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "38009171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.