NPIMap

Organization Active NPI

Illinois Acupuncture and Spine Clinic Ias

  • Chiropractor
  • Pingree Grove, IL
National Provider Identifier
1144598368
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011528 Issued in IL
Legal business name
ILLINOIS ACUPUNCTURE AND SPINE CLINIC IAS
Practice address
2401 Route 20
Pingree Grove, IL 60140
Phone
(847) 284-0787
NPI assigned
Dec 2, 2011
Last updated
May 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Dana R. Baldino, DC
Title
Owner/Physician
Phone
(847) 284-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011528 IL Primary

Addresses

Primary practice location

2401 Route 20
Pingree Grove, IL 60140

Mailing address

PO Box 925
Hampshire, IL 60140-0925
Phone (847) 284-0787

National Provider Directory

National Provider Directory

Locations

2401 W US Highway 20
Ste 201
Pingree Grove, IL 60140
Phone (847) 284-0787

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1144598368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 925",
            "city": "HAMPSHIRE",
            "state": "IL",
            "postal_code": "601400925",
            "telephone_number": "847-284-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 ROUTE 20",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "60140",
            "telephone_number": "847-284-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS ACUPUNCTURE AND SPINE CLINIC IAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BALDINO",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "847-284-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pingree Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.