Active NPI
Michael Julian Pangrcic, D.C.
- Chiropractor
- Plainfield, IL
National Provider Identifier
1275089476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013005
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038013005 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Street Chiropractic, P.C. | Chiropractor | Current | 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.
-
- Chiropractor
- Plainfield, IL
- NPI 1639394943
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.