Individual provider Active NPI

Michael Julian Pangrcic, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1275089476
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013005 Issued in IL
Practice address
23915 W Main St
Plainfield, IL 60544-1967
Phone
(815) 230-9070
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013005 IL Primary

Addresses

Primary practice location

23915 W Main St
Plainfield, IL 60544-1967

Mailing address

23915 W Main St
Unit 103
Plainfield, IL 60544-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303001700 IL Practitioner - Chiropractic 4587058722 Reassigns benefits to 1 organization

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
Group practices
Main Street Chiropractic, P.C.Group PAC ID 0749210854, 2 clinicians

Practice addresses (Care Compare)

23915 W Main St
Unit 103
Plainfield, IL 60544-2002
Phone (815) 230-9070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013005ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Chiropractic, P.C. Chiropractor CurrentSince Jan 28, 2022 Accepting new patients

Locations

23915 W Main St
Ste D
Plainfield, IL 60544
Phone (815) 230-9070

23915 W Main St
Unit 103
Plainfield, IL 60544
Phone (815) 230-9070

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.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1275089476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "address_2": "UNIT 103",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441967",
            "telephone_number": "815-230-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGRCIC",
        "first_name": "MICHAEL",
        "middle_name": "JULIAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.

Verify at the official NPI Registry.