Organization Active NPI

Jeanette K. Fefles LTD.

Doing business as Fefles Family Chiropractic Inc.

  • Chiropractor
  • Palos Heights, IL
National Provider Identifier
1699032557
Registry record updated Dec 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.009574 Issued in IL
Legal business name
JEANETTE K. FEFLES LTD.
Doing business as
Fefles Family Chiropractic Inc.
Practice address
12505 S Ridgeland Ave Ste 2
Palos Heights, IL 60463-1867
Phone
(708) 671-1444
Fax
(708) 671-1433
NPI assigned
Apr 17, 2012
Last updated
Dec 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeanette K. Fefles, DCNPI 1942372727
Title
Owner
Phone
(708) 671-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.009574 IL Primary

Addresses

Primary practice location

12505 S Ridgeland Ave Ste 2
Palos Heights, IL 60463-1867

Mailing address

12505 S Ridgeland Ave Ste 2
Palos Heights, IL 60463-1867
Phone (708) 671-1444

Other names 1

  • Fefles Family Chiropractic Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000070 IL Part B Supplier - Clinic/Group Practice 5193987717 Receives reassigned benefits from 1 practitioner
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1699032557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 S RIDGELAND AVE STE 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631867",
            "telephone_number": "708-671-1444",
            "fax_number": "708-671-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 S RIDGELAND AVE STE 2",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631867",
            "telephone_number": "708-671-1444",
            "fax_number": "708-671-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANETTE K. FEFLES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "FEFLES",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-671-1444",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.009574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fefles Family Chiropractic Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.

Verify at the official NPI Registry.