Core Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010553 Issued in IL

Legal business name

CORE CHIROPRACTIC, S.C.

Practice address

5316 West Elm St.
McHenry, IL 60050-4029

Phone

(815) 324-4763

Fax

(815) 669-1047

NPI assigned

Dec 12, 2014

Last updated

Jul 21, 2022By 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

Mikael Johnson, D.C.NPI 1982700373

Title

Owner

Phone

(815) 814-3958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Mikael Axel Johnson, DC

  • Chiropractor
  • McHenry, IL
  • NPI 1982700373
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295133973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5316 WEST ELM ST.",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504029",
            "telephone_number": "815-324-4763",
            "fax_number": "815-669-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5316 WEST ELM ST.",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504029",
            "telephone_number": "815-324-4763",
            "fax_number": "815-669-1047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36735 N Il Route 83",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Lake Villa",
            "state": "IL",
            "postal_code": "600469619",
            "country_code": "US",
            "telephone_number": "847-265-3340",
            "fax_number": "847-245-4491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-814-3958",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Joan Contos, L.P.C.
• Jodi Lynn Cook
• Sade Cooley
• Susan Corcoran, PHARMD
• Holly Cordray
• Scott Edward Corrick II
• Samuel David Cory
• Christy Cosmano
• Marisa Coulter
• Robert P Counihan, DC

• Chiropractor in McHenry, IL
• Providers in McHenry, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.