Active NPI
Avani Ashok Patel-Miller, DC, ND
- Chiropractor
- Chicago, IL
National Provider Identifier
1710219258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011605
- Practice address
- 400 N McClurg CT Apt 2206
Chicago, IL 60611-4377 - Phone
- (650) 678-5669
- NPI assigned
- Feb 9, 2010
- 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 | 038011605 | IL | Primary |
Addresses
Primary practice location
400 N McClurg CT Apt 2206
Chicago, IL 60611-4377
Mailing address
125 S Wacker Dr
Suite #300
Chicago, IL 60606-4424
Phone (312) 258-1338
Other practice location 1
125 S Wacker Dr
Suite #300
Chicago, IL 60606-4424
Phone (312) 258-1338
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 |
|---|---|---|---|
| 038011605 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Point Natural Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internist Chiropractor
- Chicago, IL
- NPI 1093059107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595894400000",
"number": "1710219258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S WACKER DR",
"address_2": "SUITE #300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606064424",
"telephone_number": "312-258-1338",
"fax_number": "312-893-5895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N MCCLURG CT APT 2206",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114377",
"telephone_number": "650-678-5669"
}
],
"practiceLocations": [
{
"address_1": "125 S Wacker Dr",
"address_2": "Suite #300",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606064424",
"country_code": "US",
"telephone_number": "312-258-1338",
"fax_number": "312-893-5895",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL-MILLER",
"first_name": "AVANI",
"middle_name": "ASHOK",
"name_prefix": "Dr.",
"credential": "DC, ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-09",
"last_updated": "2020-07-28",
"certification_date": "2020-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011605",
"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 Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.