NPIMap

Organization Active NPI

Tinley Park Chiropractic ,LTD.

  • Chiropractor
  • Tinley Park, IL
National Provider Identifier
1770764409
Registry record updated Nov 22, 2007
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2007

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.
Title
Owner
Phone
(708) 429-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

17224 Harlem Ave
Tinley Park, IL 60477-3368

Mailing address

17224 Harlem Ave
Tinley Park, IL 60477-3368
Phone (708) 429-1234

National Provider Directory

National Provider Directory

NPI Registry JSON

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "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 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.