Organization Active NPI

McGovern & Associates Chiropractic Clinic

  • Chiropractor
  • Mount Prospect, IL
National Provider Identifier
1336384288
Registry record updated Dec 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03801766 Issued in IL
Legal business name
MCGOVERN & ASSOCIATES CHIROPRACTIC CLINIC
Practice address
425 E Euclid Ave
Mount Prospect, IL 60056-1226
Phone
(847) 255-2225
Fax
(847) 255-2262
NPI assigned
Dec 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2008

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

Authorized official

Name
Dr. Michael E McGovern, D.C.
Title
Owner, DC
Phone
(847) 255-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 03801766 IL Primary

Addresses

Primary practice location

425 E Euclid Ave
Mount Prospect, IL 60056-1226

Mailing address

425 E Euclid Ave
Mount Prospect, IL 60056-1226
Phone (847) 255-2225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228608000000",
    "number": "1336384288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E EUCLID AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561226",
            "telephone_number": "847-255-2225",
            "fax_number": "847-255-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E EUCLID AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561226",
            "telephone_number": "847-255-2225",
            "fax_number": "847-255-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGOVERN & ASSOCIATES CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-07",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, DC",
        "authorized_official_telephone_number": "847-255-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "03801766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2008; 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.