Active NPI
Integrative Neurology
- Chiropractor
- St Charles, IL
National Provider Identifier
1497814859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038009988
- Legal business name
- INTEGRATIVE NEUROLOGY
- Practice address
- 3805 E Main St Ste G
St Charles, IL 60174-2487 - Phone
- (331) 222-9667
- Fax
- (331) 222-9657
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph J Baldino, D.C.
- Title
- Chiropractor/Owner
- Phone
- (312) 229-6673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009988 | IL | Primary |
Addresses
Primary practice location
3805 E Main St Ste G
St Charles, IL 60174-2487
Mailing address
3805 E Main St Ste G
St Charles, IL 60174-2487
Phone (331) 222-9667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417932419 | Other | IL | PERSONAL NPI FOR BALDINO |
Other names 1
- Integrative Neurology and Athletic Chiropractic Clinic
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pingree Grove, IL
- NPI 1699001578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617062400000",
"number": "1497814859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 E MAIN ST STE G",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742487",
"telephone_number": "331-222-9667",
"fax_number": "331-222-9657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E MAIN ST STE G",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601742487",
"telephone_number": "331-222-9667",
"fax_number": "331-222-9657"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE NEUROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2021-03-30",
"certification_date": "2021-03-30",
"status": "A",
"authorized_official_last_name": "BALDINO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "312-229-6673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "038009988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI FOR BALDINO",
"identifier": "1417932419",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Neurology and Athletic Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Integrative Neurology and Athletic Chiropractic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.