Oak Park Physiotherapy

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007932 Issued in IL

Legal business name

OAK PARK PHYSIOTHERAPY

Practice address

6435 North Ave
Oak Park, IL 60302-1013

Phone

(708) 848-7766

Fax

(773) 337-9106

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

John M Hagen, DCNPI 1245307552

Title

Owner

Phone

(708) 848-7766

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John M Hagen, D.C.

  • Chiropractor
  • Oak Park, IL
  • NPI 1245307552
  NPD (past) Authorized official

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1801294194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021013",
            "telephone_number": "708-848-7766",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021013",
            "telephone_number": "708-848-7766",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-848-7766",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park Medical Services PC
• Oak Park Oasis LLC
• Oak Park Open MRI
• Oak Park Oral Surgery, P.C.
• Oak Park Pediatrics LTD.
• Oak Park PS Dist 97
• Oak Park River Forest Infant Welfare Society (Infant Welfare Clinic)
• Oak Park Sport & Spine SC
• Oak Park Sports Medicine
• Oak Park Township

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.