Active NPI
Jonathan Allen Haigh, D.C.
- Chiropractor
- Gurnee, IL
National Provider Identifier
1710024054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-01029
- Practice address
- 3900 Washington St Ste I
Gurnee, IL 60031-5715 - Phone
- (847) 782-9280
- Fax
- (847) 782-9285
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-01029 | IL | Primary |
| Chiropractor | 111N00000X | 0004070-012 | WI |
Addresses
Primary practice location
3900 Washington St Ste I
Gurnee, IL 60031-5715
Mailing address
4625 Saint Regis Dr
Racine, WI 53403-3988
Phone (262) 554-1978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04932423 | Other | IL | BLUE CROSS PROVIDER # |
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 |
|---|---|---|---|
| 038-01029 | IL | MD | Chiropractor |
| 0004070-012 | WI | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gurnee, IL
- NPI 1871799445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1710024054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 SAINT REGIS DR",
"city": "RACINE",
"state": "WI",
"postal_code": "534033988",
"telephone_number": "262-554-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WASHINGTON ST STE I",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315715",
"telephone_number": "847-782-9280",
"fax_number": "847-782-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIGH",
"first_name": "JONATHAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-01029",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "0004070-012",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "04932423",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.