Active NPI
Sitihiamphone Phetchamphone, D.C.
- Orthopedic Chiropractor
- Oakbrook Terrace, IL
National Provider Identifier
1821070525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 038009954
- Practice address
- 17 W. 580 Butterfield Rd
Suite J
Oakbrook Terrace, IL 60181 - Phone
- (630) 495-1855
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 038009954 | IL | Primary |
Addresses
Primary practice location
17 W. 580 Butterfield Rd
Suite J
Oakbrook Terrace, IL 60181
Mailing address
17 W. 580 Butterfield Rd
Suite J
Oakbrook Terrace, IL 60181
Phone (630) 495-1855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232336 | Other | IL | BCBS |
Other names 1
- Miss Sitihiamphone Phetchamphone
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 |
|---|---|---|---|
| 038009954 | IL | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Natural Health | Orthopedic | Past | Accepting new patients |
| Advanced Natural Health Center | Orthopedic | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Chiropractor
- Oakbrook Terrace, IL
- NPI 1750556825
-
- Orthopedic Chiropractor
- Oakbrook Terrace, IL
- NPI 1487861977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1821070525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 W. 580 BUTTERFIELD RD",
"address_2": "SUITE J",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-495-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 W. 580 BUTTERFIELD RD",
"address_2": "SUITE J",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-495-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHETCHAMPHONE",
"first_name": "SITIHIAMPHONE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "038009954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2232336",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SITIHIAMPHONE",
"last_name": "PHETCHAMPHONE",
"prefix": "MISS",
"credential": "D.C., LAC.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.