Active NPI
Mouse Medical Inc
- Naprapath
- Bourbonnais, IL
National Provider Identifier
1205535788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- 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, 2023
- 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. Wendy Mae Menigoz, DN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 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 DirectoryLocations
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.
-
- Naprapath
- Saint Anne, IL
- NPI 1194953505
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.