Organization Active NPI

Hamel Chiropractic Clinic LLC

  • Chiropractor
  • Carrollton, IL
National Provider Identifier
1700148194
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012198 Issued in IL
Legal business name
HAMEL CHIROPRACTIC CLINIC LLC
Practice address
425 N Main St
Carrollton, IL 62016-1136
Phone
(217) 942-6272
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Justin Kyle Hamel, D.C.NPI 1184986754
Title
Managing Member
Phone
(217) 942-6272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012198 IL Primary

Addresses

Primary practice location

425 N Main St
Carrollton, IL 62016-1136

Mailing address

425 N Main St
Carrollton, IL 62016-1136
Phone (217) 942-6272

National Provider Directory

National Provider Directory

Locations

425 N Main St
Carrollton, IL 62016
Phone (217) 942-6272

Practitioners & affiliated clinicians

Practitioners 2

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1700148194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N MAIN ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161136",
            "telephone_number": "217-942-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAIN ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161136",
            "telephone_number": "217-942-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMEL CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HAMEL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "217-942-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.