Andre Christopher Hines, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011202 Issued in IL

Practice address

1522 N Halsted St
Chicago, IL 60642-2528

Phone

(312) 379-5000

Fax

(312) 379-5060

NPI assigned

Jan 2, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chiro One Wellness Center Metro of Old Town LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1063435402
  NPD (past)

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1730325317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5988",
            "address_2": "DEPT. 20-5001",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975988",
            "telephone_number": "630-468-1831",
            "fax_number": "630-468-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422528",
            "telephone_number": "312-379-5000",
            "fax_number": "312-379-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "ANDRE",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Lynn Hinds, LCSW
• Susan Hine, MS, OTR/L
• Kevin Christopher Hiner, PSY.D.
• Monica Clarette Hiner, M.S.
• Hines VA Hospital
• Brenetta Hines, LCSW
• David W Hines, MD
• Jacobi B Hines, MD
• Kimberly Hines
• Leslie Hines, 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 Jan 2, 2009; 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.