Mac Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAC CHIROPRACTIC LLC

Practice address

3815 Progress Blvd Ste C
Peru, IL 61354-1188

Phone

(815) 250-0953

Fax

(779) 201-5194

NPI assigned

Dec 28, 2018

Last updated

Dec 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katrina McQuilkin, DCNPI 1265976641

Title

Doctor, Owner

Phone

(815) 250-0953

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, and the practitioner matching its NPPES authorized official.

• Katrina McQuilkin, DC

  • Chiropractor
  • Peru, IL
  • NPI 1265976641
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1518439710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 PROGRESS BLVD STE C",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541188",
            "telephone_number": "815-250-0953",
            "fax_number": "779-201-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 PROGRESS BLVD STE C",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541188",
            "telephone_number": "815-250-0953",
            "fax_number": "779-201-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "MCQUILKIN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "DOCTOR, OWNER",
        "authorized_official_telephone_number": "815-250-0953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M. Longeville, NP
• Chase N Ludford, OD
• David J Ludford, OD
• Steven Joseph Ludforo, DDS
• Dina F. Lunken, D.D.S.
• Maitri Path to Wellness PLLC
• Maitri Path to Wellness PLLC
• Maitri Path to Wellness PLLC
• Shaista Malik
• Emily Manternach

• Clinic/Center in Peru, IL
• Providers in Peru, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.