Active NPI
Mind, Body & Soul Chiropractic Center, Inc.
- Chiropractor
- Calumet City, IL
National Provider Identifier
1013460815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MIND, BODY & SOUL CHIROPRACTIC CENTER, INC.
- Practice address
- 1224 Mackinaw Ave
Apt. 1C
Calumet City, IL 60409-5724 - Phone
- (773) 972-9038
- NPI assigned
- Jul 27, 2016
- Last updated
- Jul 27, 2016
- Organization subpart
- Yes
- Parent organization
- MIND, BODY & SOUL CHIROPRACTIC CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Felicia L Burse, D.C.
- Title
- Director/President
- Phone
- (773) 972-9038
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary |
Addresses
Primary practice location
1224 Mackinaw Ave
Apt. 1C
Calumet City, IL 60409-5724
Mailing address
1224 Mackinaw Ave
Apt. 1C
Calumet City, IL 60409-5724
Phone (773) 972-9038
National Provider Directory
National Provider Directory- Part of
- Mind Body Soul Chiropractic Center Inc
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Calumet City, IL
- NPI 1770951451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469577600000",
"number": "1013460815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 MACKINAW AVE",
"address_2": "APT. 1C",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095724",
"telephone_number": "773-972-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 MACKINAW AVE",
"address_2": "APT. 1C",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095724",
"telephone_number": "773-972-9038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND, BODY & SOUL CHIROPRACTIC CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIND, BODY & SOUL CHIROPRACTIC CENTER, INC.",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A",
"authorized_official_last_name": "BURSE",
"authorized_official_first_name": "FELICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
"authorized_official_telephone_number": "773-972-9038",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calumet City, IL
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- Midwest Medical Transportation Services, Inc
- Alexis Michele Miller, ED.S.
- Michella T Mitchell
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.