Active NPI
Iris Zhao, D.C., L.AC.
- Chiropractor
- Chicago, IL
National Provider Identifier
1679872717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011587
- Practice address
- 1845 S Michigan Ave
Chicago, IL 60616-5522 - Phone
- (312) 949-1289
- Fax
- (312) 949-1292
- NPI assigned
- Mar 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011587 | IL | Primary |
| Acupuncturist | 171100000X | 198001004 | IL |
Addresses
Primary practice location
1845 S Michigan Ave
Chicago, IL 60616-5522
Mailing address
1845 S Michigan Ave
Unit C1
Chicago, IL 60616-5522
Phone (312) 949-1289
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 |
|---|---|---|---|
| 038011587 | IL | MD | Chiropractor |
| 198001004 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1679872717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1845 S MICHIGAN AVE",
"address_2": "UNIT C1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165522",
"telephone_number": "312-949-1289",
"fax_number": "312-949-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165522",
"telephone_number": "312-949-1289",
"fax_number": "312-949-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "IRIS",
"credential": "D.C., L.AC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011587",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198001004",
"primary": false
}
],
"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 Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.