Active NPI
James F. Carroll, DC
- Hearing Instrument Specialist
- West Chicago, IL
National Provider Identifier
1861819401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3295
- Practice address
- 123 S Aurora St
West Chicago, IL 60185-2703 - Phone
- (224) 419-4272
- NPI assigned
- Mar 20, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3295 | IL | Primary |
| Chiropractor | 111N00000X | 038.012589 | IL |
Addresses
Primary practice location
123 S Aurora St
West Chicago, IL 60185-2703
Mailing address
123 S Aurora St
West Chicago, IL 60185-2703
Phone (331) 218-5755
Other practice location 1
1617 Ogden Ave
Lisle, IL 60532-1200
Phone (630) 968-0085
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 |
|---|---|---|---|
| 038.012589 | IL | MD | Chiropractor |
| 3295 | IL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Chiropractic LTD | Chiropractor | Past | Accepting new patients |
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
- Chicago, IL
- NPI 1932371390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1861819401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S AURORA ST",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601852703",
"telephone_number": "331-218-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S AURORA ST",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601852703",
"telephone_number": "224-419-4272"
}
],
"practiceLocations": [
{
"address_1": "1617 Ogden Ave",
"address_purpose": "LOCATION",
"city": "Lisle",
"state": "IL",
"postal_code": "605321200",
"country_code": "US",
"telephone_number": "630-968-0085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "JAMES",
"middle_name": "F.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-20",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "IL",
"license": "3295",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.012589",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.