Brooklyn Washington, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012249 Issued in IL

Practice address

16W343 83Rd St Ste D
Burr Ridge, IL 60527-7950

Phone

(630) 908-7634

NPI assigned

Dec 6, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Root II Wellness

  • Chiropractor
  • Palos Hills, IL
  • NPI 1700671849
  NPD Authorized official
• 4Path LTD

  • Clinical Medical Laboratory
  • Burr Ridge, IL
  • NPI 1508825373
  NPD

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1790020477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16W343 83RD ST STE D",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277950",
            "telephone_number": "630-908-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16W343 83RD ST STE D",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277950",
            "telephone_number": "630-908-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "BROOKLYN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W. Waitley, MD
• Walsh Nutrition Group, Inc.
• Laura Walsh, LDN, RDN, CPT
• Leonard Wanta, PT
• R Parker Ward, MD
• Irving Waxman, MD
• Meredith Sanders Waymire, OTR/L
• Heidi Weishuk, O.T.
• Wellness Way Burr Ridge LLC
• George William Weyer, M.D.

• Chiropractor in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.