Midwest Clinic of Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010492 Issued in IL

Legal business name

MIDWEST CLINIC OF CHIROPRACTIC, P.C.

Practice address

2206 Weber Rd
Crest Hill, IL 60403-0928

Phone

(815) 741-3939

Fax

(815) 741-3949

NPI assigned

Nov 24, 2009

Last updated

Nov 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Leslie Huntsman, D.C.NPI 1699714808

Title

Owner

Phone

(815) 741-3939

Specialties & licenses 1

Addresses

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.

• Mark Leslie Huntsman, D.C.

  • Chiropractor
  • Martinez, GA
  • NPI 1699714808
  NPD (past) Authorized official

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1285962662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-3939",
            "fax_number": "815-741-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604030928",
            "telephone_number": "815-741-3939",
            "fax_number": "815-741-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CLINIC OF CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "HUNTSMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-741-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Anne Matson, LPC
• Dayna Mazurek, RDH, PHDH, CDHC
• Gayle L McCloskey, MD
• Rachel Amanda McLenighan, LCPC
• Mental Clarity & Wellness LLC
• Jody Beth Mitchell, LCPC
• Maaz Syed Mohiuddin, M.D.
• Jayme S. Monroe
• Stanislav Mordarskiy, OD
• June Winston Mostacho

• Chiropractor in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.