Organization Active NPI

Nucare Integrative Health Center, PC

  • Orthopedic Chiropractor
  • Northbrook, IL
National Provider Identifier
1043427545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
Legal business name
NUCARE INTEGRATIVE HEALTH CENTER, PC
Practice address
3330 Dundee Rd
C8
Northbrook, IL 60062-2318
Phone
(847) 480-1718
Fax
(847) 480-1925
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Natalie R Bloom, D.C.NPI 1992789408
Title
Owner
Phone
(847) 480-1718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X IL Primary

Addresses

Primary practice location

3330 Dundee Rd
C8
Northbrook, IL 60062-2318

Mailing address

3330 Dundee Rd
C8
Northbrook, IL 60062-2318
Phone (847) 480-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000339 IL Part B Supplier - Clinic/Group Practice 9931363371 Receives reassigned benefits from 1 practitioner
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

3330 Dundee Rd
Ste C8
Northbrook, IL 60062
Phone (847) 480-1718

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043427545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "address_2": "C8",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-480-1718",
            "fax_number": "847-480-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 DUNDEE RD",
            "address_2": "C8",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622318",
            "telephone_number": "847-480-1718",
            "fax_number": "847-480-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUCARE INTEGRATIVE HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-480-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.