Minooka Family Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038007938 Issued in IL

Legal business name

MINOOKA FAMILY CHIROPRACTIC, PC

Practice address

524 W Mondamin St
Minooka, IL 60447-9394

Phone

(815) 467-0339

NPI assigned

Mar 1, 2006

Last updated

Jun 21, 2012By 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. Joann L. Maruszak, D.C.NPI 1629272471

Title

Owner/Physician

Phone

(815) 467-0339

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Joann Lynn Maruszak, D.C.

  • Chiropractor
  • Minooka, IL
  • NPI 1629272471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1083681803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W MONDAMIN ST",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479394",
            "telephone_number": "815-467-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W MONDAMIN ST",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604479394",
            "telephone_number": "815-467-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOOKA FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "MARUSZAK",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "815-467-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "03207464",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Dale McGehee, DDS
• Aileen McKenna-Burke, LCSW
• Erin Meyerhoff, PT
• Minooka Comm Cons SCH Dist 201
• Minooka Comm HS Dist 111
• Minooka Fire Protection District
• Minooka Supportive Living Facility, LLC (Heritage Woods of Minooka)
• Deanna Monahan, MHS, CCC/SLP-L
• Ashley Morgan, LPC
• Mary Margaret Morris, LCSW

• Chiropractor in Minooka, IL
• Providers in Minooka, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.