Active NPI
Madhu Mia Iyer, DC
- Chiropractor
- Des Plaines, IL
National Provider Identifier
1699204644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013103
- Practice address
- 2104 Miner St
Des Plaines, IL 60016-4718 - Phone
- (847) 310-9816
- Fax
- (847) 310-9817
- NPI assigned
- Jun 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013103 | IL | Primary |
Addresses
Primary practice location
2104 Miner St
Des Plaines, IL 60016-4718
Mailing address
2104 Miner St
Des Plaines, IL 60016-4718
Phone (847) 310-9816
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013103 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1699204644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 MINER ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164718",
"telephone_number": "847-310-9816",
"fax_number": "847-310-9817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 MINER ST",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164718",
"telephone_number": "847-310-9816",
"fax_number": "847-310-9817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYER",
"first_name": "MADHU",
"middle_name": "MIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.