Paul John Mroz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

4224 N Brandywine Dr
Peoria, IL 61614-5507

Phone

(309) 686-8400

Fax

(309) 686-8603

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Buescher Chiropractic Offices LTD

  • Chiropractor
  • Peoria, IL
  • NPI 1881742260
  NPD (past)
• Dicks Chiropractic and Acupuncture Offices Inc

  • Chiropractor
  • Morton, IL
  • NPI 1003035650
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437250040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W BRIDALWOOD DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152710",
            "telephone_number": "309-693-7478",
            "fax_number": "309-686-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 N BRANDYWINE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145507",
            "telephone_number": "309-686-8400",
            "fax_number": "309-686-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MROZ",
        "first_name": "PAUL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Lynn Mounce, CNP
• Cameron Mouro, M.D.
• Erin Elizabeth Mowers, MD, PHD
• Megan N Mowery, APRN, CNP
• Julie D Moza, DEVL THERAPIST
• Blake A Muehlich, LCPC
• Donna C. Mueller, R.D.
• John C Mueller, MD
• Shanna Jane Muir, LCPC
• Rachael Mulch, DPT

• Chiropractor in Peoria, IL
• Providers in Peoria, IL by specialty
• Chiropractor in Illinois

• 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.

Verify at the official NPI Registry.