Active NPI
Kathleen A'Hearn Novak, D.C.
- Chiropractor
- Joliet, IL
National Provider Identifier
1902046741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038005532
- Practice address
- 2531 Division St
Joliet, IL 60435-8734 - Phone
- (815) 744-4010
- Fax
- (815) 744-4888
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- 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 | 038005532 | IL | Primary |
Addresses
Primary practice location
2531 Division St
Joliet, IL 60435-8734
Mailing address
17830 Crystal Lake Dr
Homer Glen, IL 60491-6169
Phone (815) 260-3801
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038005532 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1902046741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17830 CRYSTAL LAKE DR",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916169",
"telephone_number": "815-260-3801",
"fax_number": "815-717-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 DIVISION ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358734",
"telephone_number": "815-744-4010",
"fax_number": "815-744-4888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVAK",
"first_name": "KATHLEEN",
"middle_name": "A'HEARN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038005532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.