Active NPI
Bioidmetrics Integrative Medical Institute, LLC
- Internist Chiropractor
- Willowbrook, IL
National Provider Identifier
1104294115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 038012729
- Legal business name
- BIOIDMETRICS INTEGRATIVE MEDICAL INSTITUTE, LLC
- Practice address
- 6715 Kingery Hwy
Willowbrook, IL 60527-5142 - Phone
- (773) 416-2888
- NPI assigned
- Sep 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Monica Cisneros, DC
- Title
- Chiropractor
- Phone
- (773) 416-2888
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 038012729 | IL | Primary |
Addresses
Primary practice location
6715 Kingery Hwy
Willowbrook, IL 60527-5142
Mailing address
6715 Kingery Hwy
Willowbrook, IL 60527-5142
Phone (773) 416-2888
National Provider Directory
National Provider DirectoryLocations
6715 Kingery Hwy
Willowbrook, IL 60527
Phone (630) 455-0212
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": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1104294115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6715 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275142",
"telephone_number": "773-416-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 KINGERY HWY",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605275142",
"telephone_number": "773-416-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOIDMETRICS INTEGRATIVE MEDICAL INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "CISNEROS",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "773-416-2888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Internist",
"state": "IL",
"license": "038012729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.