Active NPI
Donna Ficaro, D.C.
- Orthopedic Chiropractor
- Orland Park, IL
National Provider Identifier
1689606279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 038-003987
- Practice address
- 9641 W 153Rd St
Suite 48
Orland Park, IL 60462-3775 - Phone
- (708) 403-0431
- Fax
- (708) 403-0699
- NPI assigned
- Jul 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 038-003987 | IL | Primary |
| Nutritionist | 133N00000X | 164.006123 | IL |
Addresses
Primary practice location
9641 W 153Rd St
Suite 48
Orland Park, IL 60462-3775
Mailing address
7230 W 152ND PL
Orland Park, IL 60462-6668
Phone (708) 214-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110211000916 | IL | Practitioner - Chiropractic | 7618157371 | Practice locations: Orland Park, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003987 | IL | MD | Orthopedic Chiropractor |
| 164.006123 | IL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1689606279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7230 W 152ND PL",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626668",
"telephone_number": "708-214-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9641 W 153RD ST",
"address_2": "SUITE 48",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623775",
"telephone_number": "708-403-0431",
"fax_number": "708-403-0699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FICARO",
"first_name": "DONNA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "038-003987",
"primary": true
},
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "IL",
"license": "164.006123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.