Individual provider Active NPI

Michael John McCahill, D.C.

  • Chiropractor
  • Tinley Park, IL
National Provider Identifier
1770679359
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-007077 Issued in IL
Practice address
16345 Harlem Ave
Suite 210
Tinley Park, IL 60477-2589
Phone
(708) 429-5904
Fax
(708) 429-0094
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 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 038-007077 IL Primary

Addresses

Primary practice location

16345 Harlem Ave
Suite 210
Tinley Park, IL 60477-2589

Mailing address

16345 Harlem Ave
Suite 210
Tinley Park, IL 60477-2589
Phone (708) 429-5904

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

LicenseStateTypeSpecialty
038-007077ILMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1770679359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16345 HARLEM AVE",
            "address_2": "SUITE 210",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772589",
            "telephone_number": "708-429-5904",
            "fax_number": "708-429-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16345 HARLEM AVE",
            "address_2": "SUITE 210",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772589",
            "telephone_number": "708-429-5904",
            "fax_number": "708-429-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAHILL",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.