Organization Active NPI

Meersman Sports Medicine PLLC

  • Sports Physician Chiropractor
  • Chicago, IL
National Provider Identifier
1366189094
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
MEERSMAN SPORTS MEDICINE PLLC
Practice address
5035 N Nordica Ave
Chicago, IL 60656-3603
Phone
(773) 294-3611
NPI assigned
May 15, 2022
Last updated
May 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Dr. Michael Joseph Meersman, DCNPI 1922507284
Title
Chiropractor
Phone
(773) 294-3611

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Sports Physician Chiropractor 111NS0005X NU Primary

Addresses

Primary practice location

5035 N Nordica Ave
Chicago, IL 60656-3603

Mailing address

5035 N Nordica Ave
Chicago, IL 60656-3603
Phone (773) 294-3611

National Provider Directory

National Provider Directory

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": "1652572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1366189094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 N NORDICA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563603",
            "telephone_number": "773-294-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 N NORDICA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563603",
            "telephone_number": "773-294-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEERSMAN SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "MEERSMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "773-294-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.