Individual provider Active NPI

Alexis Mikrut, DC, MS

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1043779598
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013327 Issued in IL
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
038.013327ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.