Individual provider Active NPI

Amanda Irene Herzer, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1710207014
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011708 Issued in IL
Practice address
1147 S Wabash Ave
250
Chicago, IL 60605-2346
Phone
(312) 235-0900
Fax
(312) 235-0909
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011708 IL Primary

Addresses

Primary practice location

1147 S Wabash Ave
250
Chicago, IL 60605-2346

Mailing address

1147 S Wabash Ave
250
Chicago, IL 60605-2346
Phone (312) 235-0900

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

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1710207014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE",
            "address_2": "250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346",
            "telephone_number": "312-235-0900",
            "fax_number": "312-235-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1147 S WABASH AVE",
            "address_2": "250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052346",
            "telephone_number": "312-235-0900",
            "fax_number": "312-235-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZER",
        "first_name": "AMANDA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.