Active NPI
Gina M. Moskalik, D.C.
- Chiropractor
- Cary, IL
National Provider Identifier
1396986105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011326
- Practice address
- 716 Laurel LN
Cary, IL 60013-3205 - Phone
- (847) 658-6066
- Fax
- (866) 837-6099
- NPI assigned
- Mar 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 038011326 | IL | |
| Rehabilitation Chiropractor | 111NR0400X | 038011326 | IL | |
| Chiropractor | 111N00000X | 038.011326 | IL | Primary |
Addresses
Primary practice location
716 Laurel LN
Cary, IL 60013-3205
Mailing address
PO Box 453
Cary, IL 60013-0453
Phone (847) 658-6066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
716 Laurel LN
Cary, IL 60013-3205
Phone (847) 658-6066
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011326 | IL | MD | Chiropractor |
| 038011326 | IL | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibrance Chiropractic & Wellness Center, LTD | Chiropractor | Current | 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
- Cary, IL
- NPI 1558502377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1396986105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 453",
"city": "CARY",
"state": "IL",
"postal_code": "600130453",
"telephone_number": "847-658-6066",
"fax_number": "866-837-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 LAUREL LN",
"city": "CARY",
"state": "IL",
"postal_code": "600133205",
"telephone_number": "847-658-6066",
"fax_number": "866-837-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKALIK",
"first_name": "GINA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "IL",
"license": "038011326",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": "038011326",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.