Active NPI
Halima Danielle Phelps, DC, ND
- Chiropractor
- North Chicago, IL
National Provider Identifier
1932704145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013630
- Practice address
- 918 Broadway Ave
North Chicago, IL 60064-2705 - Phone
- (224) 541-5967
- NPI assigned
- Dec 3, 2020
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013630 | IL | Primary |
Addresses
Primary practice location
918 Broadway Ave
North Chicago, IL 60064-2705
Mailing address
918 Broadway Ave
North Chicago, IL 60064-2705
Phone (224) 541-5967
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 |
|---|---|---|---|
| 038.013630 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1932704145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 BROADWAY AVE",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600642705",
"telephone_number": "224-541-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "918 BROADWAY AVE",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "600642705",
"telephone_number": "224-541-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "HALIMA",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "DC, ND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.