NPIMap

Organization Active NPI

MC Integrative Medicine, LLC

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1093143109
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012420 Issued in IL
Legal business name
MC INTEGRATIVE MEDICINE, LLC
Practice address
4450 Westbrook Dr
Suite 100
Aurora, IL 60504-7936
Phone
(331) 444-2284
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Melissa C Verhagen, DC
Title
Owner - DC
Phone
(331) 444-2284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038012420 IL Primary

Addresses

Primary practice location

4450 Westbrook Dr
Suite 100
Aurora, IL 60504-7936

Mailing address

4450 Westbrook Dr
Suite 100
Aurora, IL 60504-7936
Phone (331) 444-2284

National Provider Directory

National Provider Directory

Locations

4450 Westbrook Dr
Ste 100
Aurora, IL 60504
Phone (331) 444-2284

Practitioners & affiliated clinicians

Practitioners 1

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": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1093143109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 WESTBROOK DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047936",
            "telephone_number": "331-444-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 WESTBROOK DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047936",
            "telephone_number": "331-444-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "VERHAGEN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER - DC",
        "authorized_official_telephone_number": "331-444-2284",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.