Mossell Holistic Health Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006924 Issued in IL

Legal business name

MOSSELL HOLISTIC HEALTH CARE LLC

Practice address

1420 N Northwest Hwy
Suite 411
Park Ridge, IL 60068-1310

Phone

(847) 296-0505

Fax

(847) 768-9630

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Keith Mossell, D.C.NPI 1184737199

Title

President

Phone

(773) 412-4083

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Keith Mossell, D.C.

  • Chiropractor
  • Park Ridge, IL
  • NPI 1184737199
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1417267709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N NORTHWEST HWY",
            "address_2": "SUITE 411",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681310",
            "telephone_number": "847-296-0505",
            "fax_number": "847-768-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N NORTHWEST HWY",
            "address_2": "SUITE 411",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681310",
            "telephone_number": "847-296-0505",
            "fax_number": "847-768-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSELL HOLISTIC HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MOSSELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-412-4083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Matthew Morse, D.C.
• Rachel Kathryn Morse
• Anna Moskal
• Lauren E Moss, AUD
• Madeline Moss
• Daniel Keith Mossell, D.C.
• Ahmed Mostafa, MD
• Sarah Motta, PA-C
• Motus Physical Therapy PLLC
• Margaret Moulton, MSW, LCSW

• Chiropractor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.