Michelle Coffey, DC, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012751 Issued in IL

Practice address

166 W Washington St
Chicago, IL 60602-2311

Phone

(312) 593-5194

Fax

(888) 586-5194

NPI assigned

Jan 2, 2014

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Wanty Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1710308184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11324 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552708",
            "telephone_number": "715-661-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W WASHINGTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606022311",
            "telephone_number": "312-593-5194",
            "fax_number": "888-586-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "MICHELLE",
        "credential": "DC, CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WANTY",
            "credential": "DC, CCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Coffee Talk Counseling, Inc.
• Alexs Nicole Coffee, PHARMD
• Brian T Coffey, O.D.
• Colleen Coffey, MS, RDN, LDN
• Gillian Grace Coffey, MD
• Robert Franklin Coffey
• Ashlyn Elizabeth Coffman
• Audrey Cofie
• Jean Mart Tilde Cofino, PT, DPT
• Caroline Cofoid, M.S. CF-SLP

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.