Active NPI
John A Stafford
- Chiropractor
- Chicago, IL
National Provider Identifier
1801078365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0383397
- Practice address
- 1750 E 87TH St
Chicago, IL 60617 - Phone
- (312) 437-4444
- NPI assigned
- Nov 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0383397 | IL | Primary |
Addresses
Primary practice location
1750 E 87TH St
Chicago, IL 60617
Mailing address
PO Box 3564
Oakbrook, IL 60522
Phone (312) 437-4444
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0383397 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1801078365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3564",
"city": "OAKBROOK",
"state": "IL",
"postal_code": "60522",
"telephone_number": "312-437-4444",
"fax_number": "630-323-4848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 E 87TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60617",
"telephone_number": "312-437-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "0383397",
"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 Nov 27, 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.