Midwest Hyperbaric Institute, P.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

060.008568 Issued in IL

Legal business name

MIDWEST HYPERBARIC INSTITUTE, P.C.

Practice address

391 Quadrangle Dr
Suite S-1
Bolingbrook, IL 60440-3442

Phone

(630) 378-1760

Fax

(630) 378-1764

NPI assigned

Mar 14, 2007

Last updated

Jul 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. August Martinucci, M.D.

Title

Medical Director

Phone

(630) 378-1760

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1265565444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 QUADRANGLE DR",
            "address_2": "SUITE S-1",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-378-1760",
            "fax_number": "630-378-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 QUADRANGLE DR",
            "address_2": "SUITE S-1",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-378-1760",
            "fax_number": "630-378-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HYPERBARIC INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MARTINUCCI",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-378-1760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "060.008568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-GROUP NUMBER",
            "identifier": "9932263",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Mettler, DPT
• Mga Home Health Care, Inc.
• Judith Micek, MOT/L,CHT
• Midwest Express Care 2, Inc
• Midwest Functional Psychiatry
• Midwest Rehabilitation & Wellness Center (Midwest Wellness Center)
• Midwest Wound Care Incorporated
• Shunta M Milam, AAS, BA, M.ED, MBA
• Vincent Miller
• Mindful Occupational Therapy LLC

• Multi-Specialty Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.