Weber Micetich Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007825 Issued in IL

Legal business name

WEBER MICETICH CHIROPRACTIC P.C.

Practice address

24 E North St
Coal City, IL 60416-1087

Phone

(815) 634-0445

Fax

(815) 634-3188

NPI assigned

Mar 23, 2007

Last updated

Apr 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juli Weber-Micetich, DC

Title

Owner

Phone

(815) 634-0445

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juli Weber Micetich, D.C.

  • Chiropractor
  • Coal City, IL
  • NPI 1467454587
  Medicare reassignment Care Compare group NPD
• Laura K Barry, D.C.

  • Chiropractor
  • Lakeville, MN
  • NPI 1053447987

  IL

  Medicare reassignment Care Compare group NPD
• Burgundy L Lander, DC

  • Chiropractor
  • Coal City, IL
  • NPI 1912926650
  NPD (past)
• Christina Veronda, LMT

  • Massage Therapist
  • Coal City, IL
  • NPI 1023418845
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1003933300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 E NORTH ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161087",
            "telephone_number": "815-634-0445",
            "fax_number": "815-634-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 E NORTH ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161087",
            "telephone_number": "815-634-0445",
            "fax_number": "815-634-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER MICETICH CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "WEBER-MICETICH",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-634-0445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054286",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "212905",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "3232036",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Venice, APN
• Christina Veronda, LMT
• Vision Medical Supplies LLC
• Kailee J Walgren, LCSW
• Wanderlust Wellness Counseling LLC
• Tiffany Kathryn Wills, ATC
• Dawn Maria Wolfe, MA
• Bethany Zbinden, DPT

• Chiropractor in Coal City, IL
• Providers in Coal City, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.