Organization Active NPI

Wood Dale Chiropractic, LTD.

  • Chiropractor
  • Wood Dale, IL
National Provider Identifier
1962625475
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-004771 Issued in IL
Legal business name
WOOD DALE CHIROPRACTIC, LTD.
Practice address
402 E Irving Park Rd
Wood Dale, IL 60191-1668
Phone
(630) 860-0480
Fax
(630) 860-9620
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alfred Julian Feinblatt, DC
Title
Owner
Phone
(630) 860-0480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-004771 IL Primary

Addresses

Primary practice location

402 E Irving Park Rd
Wood Dale, IL 60191-1668

Mailing address

402 E Irving Park Rd
Wood Dale, IL 60191-1668
Phone (630) 860-0480

Other identifiers 1

IdentifierTypeStateIssuer
2282079OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

402 E Irving Park Rd
Wood Dale, IL 60191
Phone (630) 860-0480

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1962625475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911668",
            "telephone_number": "630-860-0480",
            "fax_number": "630-860-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E IRVING PARK RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911668",
            "telephone_number": "630-860-0480",
            "fax_number": "630-860-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD DALE CHIROPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "FEINBLATT",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "JULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-860-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-004771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2282079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.