Organization Active NPI

Principle Performance, Inc

  • Nutrition Chiropractor
  • Des Plaines, IL
National Provider Identifier
1285353623
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
PRINCIPLE PERFORMANCE, INC
Practice address
200 Howard Ave Ste 230
Des Plaines, IL 60018-5908
Phone
(224) 725-3151
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dr. Michael Jeremy Gontarek, DC, MSC, DACBNNPI 1467917856
Title
Chiropractic Physician
Phone
(630) 709-2868

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)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X NU Primary

Addresses

Primary practice location

200 Howard Ave Ste 230
Des Plaines, IL 60018-5908

Mailing address

200 Howard Ave Ste 230
Des Plaines, IL 60018-5908
Phone (224) 725-3151

National Provider Directory

National Provider Directory

Locations

200 Howard Ave
Ste 230
Des Plaines, IL 60018
Phone (224) 725-3151

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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1285353623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE STE 230",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185908",
            "telephone_number": "224-725-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWARD AVE STE 230",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185908",
            "telephone_number": "224-725-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLE PERFORMANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "GONTAREK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "630-709-2868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MSC, DACBN"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.