Active NPI
Katrina McQuilkin, DC
- Chiropractor
- Peru, IL
National Provider Identifier
1265976641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013051
- Practice address
- 3815 Progress Blvd Ste C
Peru, IL 61354-1188 - Phone
- (815) 250-0953
- Fax
- (779) 201-5194
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013051 | IL | Primary |
Addresses
Primary practice location
3815 Progress Blvd Ste C
Peru, IL 61354-1188
Mailing address
3815 Progress Blvd Ste C
Peru, IL 61354-1188
Phone (815) 250-0953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3815 Progress Blvd
Suite C
Peru, IL 61354-1188
Phone (815) 250-0953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013051 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mac Chiropractic LLC | Current | Accepting new patients |
Locations
3815 Progress Blvd
Ste C
Peru, IL 61354
Phone (815) 250-0953
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Peru, IL
- NPI 1518439710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1265976641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 PROGRESS BLVD STE C",
"city": "PERU",
"state": "IL",
"postal_code": "613541188",
"telephone_number": "815-250-0953",
"fax_number": "779-201-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 PROGRESS BLVD STE C",
"city": "PERU",
"state": "IL",
"postal_code": "613541188",
"telephone_number": "815-250-0953",
"fax_number": "779-201-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILKIN",
"first_name": "KATRINA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.