Active NPI
Alexis Mikrut, DC, MS
- Chiropractor
- Chicago, IL
National Provider Identifier
1043779598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013327
- Practice address
- 225 W Hubbard St Ste 302
Chicago, IL 60654-4916 - Phone
- (773) 453-5744
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- 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 | 038.013327 | IL | Primary |
Addresses
Primary practice location
225 W Hubbard St Ste 302
Chicago, IL 60654-4916
Mailing address
1229 Country LN
Lemont, IL 60439-6101
Phone (630) 670-3332
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drmikrut@alignedmodernhealth.com | Direct |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013327 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Wellness, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Chicago, IL
- NPI 1265847545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1043779598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 COUNTRY LN",
"city": "LEMONT",
"state": "IL",
"postal_code": "604396101",
"telephone_number": "630-670-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W HUBBARD ST STE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544916",
"telephone_number": "773-453-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKRUT",
"first_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "DC, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013327",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drmikrut@alignedmodernhealth.com",
"affiliation": "Y",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "n/a",
"address_1": "225 W Hubbard St Ste 302",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606544916",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.