Organization Active NPI

Mouse Medical Inc

  • Naprapath
  • Bourbonnais, IL
National Provider Identifier
1205535788
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
Legal business name
MOUSE MEDICAL INC
Practice address
1230 Larry Power Rd
Bourbonnais, IL 60914-4494
Phone
(815) 340-4353
Fax
(815) 304-4615
NPI assigned
Feb 23, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Dr. Wendy Mae Menigoz, DNNPI 1194953505
Title
President
Phone
(815) 304-4353

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)CodeLicenseStatePrimary
NaprapathGroup: 193400000X SINGLE SPECIALTY GROUP 172P00000X Primary

Addresses

Primary practice location

1230 Larry Power Rd
Bourbonnais, IL 60914-4494

Mailing address

1230 Larry Power Rd
Bourbonnais, IL 60914-4494
Phone (815) 340-4353

National Provider Directory

National Provider Directory

Locations

1230 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 340-4353

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1205535788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144494",
            "telephone_number": "815-340-4353",
            "fax_number": "815-304-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 LARRY POWER RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144494",
            "telephone_number": "815-340-4353",
            "fax_number": "815-304-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "MENIGOZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-304-4353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DN"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naprapath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.