Active NPI
Mark McNally, DC
- Chiropractor
- Glendale Heights, IL
National Provider Identifier
1386713436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-009509
- Practice address
- 2178 Bloomingdale Rd
Glendale Heights, IL 60139-1614 - Phone
- (630) 671-1228
- Fax
- (630) 671-1209
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009509 | IL | Primary |
Addresses
Primary practice location
2178 Bloomingdale Rd
Glendale Heights, IL 60139-1614
Mailing address
6443 Clarendon Hills Rd
Willowbrook, IL 60527-2150
Phone (630) 989-0652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009509 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomingdale Spinal Care LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Glendale Heights, IL
- NPI 1518009463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386713436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6443 CLARENDON HILLS RD",
"city": "WILLOWBROOK",
"state": "IL",
"postal_code": "605272150",
"telephone_number": "630-989-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2178 BLOOMINGDALE RD",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391614",
"telephone_number": "630-671-1228",
"fax_number": "630-671-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNALLY",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-009509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.