Main Healthcare S C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038-008776 Issued in IL

Legal business name

MAIN HEALTHCARE S C

Practice address

2412 E Washington St
Suite 6a
Bloomington, IL 61704-4497

Phone

(309) 622-1000

Fax

(309) 663-0686

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Walter Robert Main, D.C.NPI 1780690289

Title

President

Phone

(309) 662-1000

Specialties & licenses 1

Addresses

Other names 1

• The Main Spinal Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter R. Main, D.C.

  • Neurology Chiropractor
  • Cheraw, SC
  • NPI 1780690289
  NPD Authorized official

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1285945261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 E WASHINGTON ST",
            "address_2": "SUITE 6A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044497",
            "telephone_number": "309-622-1000",
            "fax_number": "309-663-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 E WASHINGTON ST",
            "address_2": "SUITE 6A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044497",
            "telephone_number": "309-622-1000",
            "fax_number": "309-663-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN HEALTHCARE S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-662-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038-008776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Main Spinal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Munib S Mafazy, APRN
• Nenita Maganti, MD
• James J Magee, M.D.
• Vanessa Maguire
• Thomas L Mahaffey, OD
• Kourtney A Majors, MSW, LSW
• Geethu Sabu Makil
• Brittany Malak, LMFT
• Alexandra Paige Malec
• Charlotte Elizabeth Malerich

• Rehabilitation Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.