Active NPI
Matthew David Hill, DC
- Chiropractor
- Crystal Lake, IL
National Provider Identifier
1992288203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013127
- Practice address
- 411 E Congress Pkwy
Crystal Lake, IL 60014-6247 - Phone
- (815) 455-8213
- NPI assigned
- Sep 12, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013127 | IL | Primary |
Addresses
Primary practice location
411 E Congress Pkwy
Crystal Lake, IL 60014-6247
Mailing address
411 E Congress Pkwy
Crystal Lake, IL 60014-6247
Phone (815) 455-8213
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038013127 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1992288203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E CONGRESS PKWY",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146247",
"telephone_number": "815-455-8213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E CONGRESS PKWY",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146247",
"telephone_number": "815-455-8213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MATTHEW",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.