Active NPI
Gerard Carr Hinley, D.C.
- Chiropractor
- Glendale Heights, IL
National Provider Identifier
1861557886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 1136 Bloomingdale Rd
Glendale Heights, IL 60139-3498 - Phone
- (630) 690-4488
- Fax
- (630) 690-4680
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
1136 Bloomingdale Rd
Glendale Heights, IL 60139-3498
Mailing address
954 Crescent Blvd
Glen Ellyn, IL 60137-4255
Phone (630) 469-9233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0221-5600 | Other | IL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 038-006490 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861557886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "954 CRESCENT BLVD",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374255",
"telephone_number": "630-469-9233",
"fax_number": "630-690-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601393498",
"telephone_number": "630-690-4488",
"fax_number": "630-690-4680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINLEY",
"first_name": "GERARD",
"middle_name": "CARR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0221-5600",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.