Active NPI
Brian D Hillary, DC
- Chiropractor
- Bourbonnais, IL
National Provider Identifier
1679647325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010801
- Practice address
- 201 Park PL Ste 10
Bourbonnais, IL 60914-1883 - Phone
- (815) 939-2225
- Fax
- (815) 939-8993
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- 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 | 038010801 | IL | Primary |
Addresses
Primary practice location
201 Park PL Ste 10
Bourbonnais, IL 60914-1883
Mailing address
201 Park PL Ste 10
Bourbonnais, IL 60914-1883
Phone (815) 939-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APPLIED FOR | Other | IL | APPLIED FOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 S State St
Manhattan, IL 60442-9003
Phone (815) 478-3220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010801 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan, Il Family Chiropractic, LTD. | Chiropractor | Current | Accepting new patients |
| Minor Chiropractic Health Center PC | Chiropractor | Past | Accepting new patients |
| Bourbonnais Chiropractic LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Manhattan, IL
- NPI 1912287897
-
- Chiropractor
- Bourbonnais, IL
- NPI 1548334287
-
- Chiropractor
- Channahon, IL
- NPI 1508818923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1679647325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK PL STE 10",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141883",
"telephone_number": "815-939-2225",
"fax_number": "815-939-8993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PARK PL STE 10",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141883",
"telephone_number": "815-939-2225",
"fax_number": "815-939-8993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLARY",
"first_name": "BRIAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLIED FOR",
"identifier": "APPLIED FOR",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.