Individual provider Active NPI

Elliott Matthew Chay

  • Rehabilitation Chiropractor
  • Chicago, IL
National Provider Identifier
1972875268
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
038008992 Issued in IL
Practice address
600 S Western Ave
Chicago, IL 60612-3531
Phone
(312) 243-3411
Fax
(312) 733-8381
NPI assigned
Feb 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 038008992 IL Primary

Addresses

Primary practice location

600 S Western Ave
Chicago, IL 60612-3531

Mailing address

600 S Western Ave
Chicago, IL 60612-3531
Phone (312) 243-3411

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

State licenses

LicenseStateTypeSpecialty
038008992ILMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
K & E Medical LTD. Past Accepting new patients
Allied Health Chiropractic Centers of Il, LLC Past Accepting new patients
King, LTD Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1972875268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123531",
            "telephone_number": "312-243-3411",
            "fax_number": "312-733-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123531",
            "telephone_number": "312-243-3411",
            "fax_number": "312-733-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAY",
        "first_name": "ELLIOTT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038008992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.