Tinley Park Chiropractic ,LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TINLEY PARK CHIROPRACTIC ,LTD.

Practice address

17224 Harlem Ave
Tinley Park, IL 60477-3368

Phone

(708) 429-1234

Fax

(708) 429-1287

NPI assigned

Nov 22, 2007

Last updated

Nov 22, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian J Hickey, D.C.NPI 1982726949

Title

Owner

Phone

(708) 429-1234

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J. Hickey, D.C.

  • Chiropractor
  • Tinley Park, IL
  • NPI 1982726949
  Authorized official Same address or phone

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

{
    "created_epoch": "1195689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195689600000",
    "number": "1770764409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17224 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773368",
            "telephone_number": "708-429-1234",
            "fax_number": "708-429-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17224 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773368",
            "telephone_number": "708-429-1234",
            "fax_number": "708-429-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINLEY PARK CHIROPRACTIC ,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-22",
        "last_updated": "2007-11-22",
        "status": "A",
        "authorized_official_last_name": "HICKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-429-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2007; 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.