Active NPI
Renee Anne Matthes, D.C.
- Chiropractor
- Clarendon Hills, IL
National Provider Identifier
1801960356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010642
- Practice address
- 5514 Tennessee Ave
Clarendon Hills, IL 60514-1512 - Phone
- (312) 208-3243
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Chiropractor
- Downers Grove, IL
- NPI 1588046619
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010642 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ram Wellness, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010642 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5514 Tennessee Ave
Clarendon Hills, IL 60514-1512
Mailing address
5514 Tennessee Ave
Clarendon Hills, IL 60514-1512
Phone (312) 208-3243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 12, 2016.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1801960356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 TENNESSEE AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141512",
"telephone_number": "312-208-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5514 TENNESSEE AVE",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141512",
"telephone_number": "312-208-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHES",
"first_name": "RENEE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarendon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.