Active NPI
Charles Andrew Maldonado, D.C.
- Chiropractor
- Hinsdale, IL
National Provider Identifier
1831467448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.012015
- Practice address
- 930 N York Rd Ste 100
Hinsdale, IL 60521-3595 - Phone
- (630) 654-9300
- Fax
- (630) 608-2855
- NPI assigned
- Dec 9, 2011
- 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 | 038.012015 | IL | Primary |
Addresses
Primary practice location
930 N York Rd Ste 100
Hinsdale, IL 60521-3595
Mailing address
438 Mills St
Hinsdale, IL 60521-2430
Other practice location 1
621 Plainfield Rd
Suite 311
Willowbrook, IL 60527-5343
Phone (630) 209-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
930 N York Rd
Suite 100
Hinsdale, IL 60521-3595
Phone (630) 654-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.012015 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holistic Chiropractic and Acupuncture, L.L.C. | Chiropractor | Current | Accepting new patients |
Locations
930 N York Rd
Ste 100
Hinsdale, IL 60521
Phone (630) 455-4545
621 Plainfield Rd
Ste 311
Willowbrook, IL 60527
Phone (630) 206-5606
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
- Hinsdale, IL
- NPI 1356616957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831467448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 MILLS ST",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605212430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 N YORK RD STE 100",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213595",
"telephone_number": "630-654-9300",
"fax_number": "630-608-2855"
}
],
"practiceLocations": [
{
"address_1": "621 Plainfield Rd",
"address_2": "Suite 311",
"address_purpose": "LOCATION",
"city": "Willowbrook",
"state": "IL",
"postal_code": "605275343",
"country_code": "US",
"telephone_number": "630-209-0508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALDONADO",
"first_name": "CHARLES",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.