Active NPI
Hulsebus Rockford Chiropractic
- Chiropractor
- Rockford, IL
National Provider Identifier
1104931427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-3538
- Legal business name
- HULSEBUS ROCKFORD CHIROPRACTIC
- Practice address
- 1877 Daimler Rd
Rockford, IL 61112-1005 - Phone
- (815) 398-3434
- Fax
- (815) 398-3548
- NPI assigned
- Aug 19, 2006
- 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. Michael J Hulsebus, D.C.
- Title
- Owner
- Phone
- (815) 398-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-3538 | IL | Primary |
Addresses
Primary practice location
1877 Daimler Rd
Rockford, IL 61112-1005
Mailing address
1877 Daimler Rd
Rockford, IL 61112-1005
Phone (815) 398-3434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 991950 | Other | IL | MEDICARE GROUP # |
Other names 1
- Hulsebus Chiropractic Clinic of Rockford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1877 Daimler Rd
Rockford, IL 61112
Phone (815) 398-3434
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Chicago, IL
- NPI 1841599149
-
- Chiropractor
- Rockford, IL
- NPI 1396762233
-
- Chiropractor
- Rockford, IL
- NPI 1083414528
-
- Chiropractor
- Rockford, IL
- NPI 1710564604
-
- Massage Therapist
- Rockford, IL
- NPI 1801674619
-
- Massage Therapist
- Rockford, IL
- NPI 1811878234
-
- Sports Physician Chiropractor
- Peru, IL
- NPI 1316044084
-
- Chiropractor
- Rockford, IL
- NPI 1780616029
-
- Chiropractor
- West Des Moines, IA
- NPI 1811062441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264377600000",
"number": "1104931427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1877 DAIMLER RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121005",
"telephone_number": "815-398-3434",
"fax_number": "815-398-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 DAIMLER RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121005",
"telephone_number": "815-398-3434",
"fax_number": "815-398-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HULSEBUS ROCKFORD CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2010-01-25",
"status": "A",
"authorized_official_last_name": "HULSEBUS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-398-3434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038-3538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "991950",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hulsebus Chiropractic Clinic of Rockford",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.