Active NPI
Ali M Dia, D.C.
- Chiropractor
- Crystal Lake, IL
National Provider Identifier
1679967434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012743
- Practice address
- 30 N Williams St
Crystal Lake, IL 60014-4471 - Phone
- (815) 893-8150
- NPI assigned
- Mar 19, 2015
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.012743 | IL | Primary |
Addresses
Primary practice location
30 N Williams St
Crystal Lake, IL 60014-4471
Mailing address
131 E Janata Blvd
Apt 3B
Lombard, IL 60148-5962
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 |
|---|---|---|---|
| 038.012743 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1679967434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 E JANATA BLVD",
"address_2": "APT 3B",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601485962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N WILLIAMS ST",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600144471",
"telephone_number": "815-893-8150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIA",
"first_name": "ALI",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-19",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.