NPIMap

Organization Active NPI

Patie LLC

Doing business as ARC Holistic Medicine

  • Clinic/Center
  • Elmhurst, IL
National Provider Identifier
1376165712
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PATIE LLC
Doing business as
ARC Holistic Medicine
Practice address
533 W North Ave
Elmhurst, IL 60126-2910
Phone
(630) 501-1093
NPI assigned
May 7, 2020
Last updated
Sep 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Dr. Katie Niebur, ND, DCNPI 1104448547
Title
Co-Owner/Co-Ceo
Phone
(708) 362-2337

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Chiropractor 111N00000X NU
Naturopath 175F00000X NU

Addresses

Primary practice location

533 W North Ave
Elmhurst, IL 60126-2910

Mailing address

533 W North Ave
#LL50
Elmhurst, IL 60126
Phone (630) 501-1093

Other names 1

  • ARC Holistic Medicine Doing business as

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": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1376165712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE",
            "address_2": "#LL50",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-501-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 W NORTH AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262910",
            "telephone_number": "630-501-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "NIEBUR",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CO-OWNER/CO-CEO",
        "authorized_official_telephone_number": "708-362-2337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARC Holistic Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ARC Holistic Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.