Organization Active NPI

Aaron Alan Malavolti DC SC

  • Preferred Provider Organization
  • Chicago, IL
National Provider Identifier
1790968709
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
038-009815 Issued in IL
Legal business name
AARON ALAN MALAVOLTI DC SC
Practice address
21 W Elm St
Lower Level W
Chicago, IL 60610-6420
Phone
(312) 643-1222
Fax
(312) 643-1885
NPI assigned
Dec 12, 2007
Last updated
Dec 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Dr. Aaron Alan Malavolti, DCNPI 1326081233
Title
President/Owner
Phone
(773) 575-5112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 038-009815 IL Primary

Addresses

Primary practice location

21 W Elm St
Lower Level W
Chicago, IL 60610-6420

Mailing address

21 W Elm St
Lower Level W
Chicago, IL 60610-6420
Phone (312) 643-1222

National Provider Directory

National Provider Directory

Locations

21 W Elm St
Chicago, IL 60610
Phone (312) 643-1222

21 W Elm St
Lowr
Chicago, IL 60610
Phone (312) 643-1222

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1790968709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W ELM ST",
            "address_2": "LOWER LEVEL W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106420",
            "telephone_number": "312-643-1222",
            "fax_number": "312-643-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W ELM ST",
            "address_2": "LOWER LEVEL W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606106420",
            "telephone_number": "312-643-1222",
            "fax_number": "312-643-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON ALAN MALAVOLTI DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MALAVOLTI",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "773-575-5112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038-009815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.