Organization Active NPI

Integrative Neurology

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1497814859
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038009988 Issued in IL
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

Updated by the provider on Mar 30, 2021

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1417932419OtherILPERSONAL NPI FOR BALDINO

Other names 1

  • Integrative Neurology and Athletic Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.