NPIMap

Organization Active NPI

Hulsebus Machesney Park Chiropractic LLC

  • Chiropractor
  • Machesney Park, IL
National Provider Identifier
1588926414
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HULSEBUS MACHESNEY PARK CHIROPRACTIC LLC
Practice address
1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone
(815) 654-1044
Fax
(815) 639-3529
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. James P Hulsebus, DCNPI 1487678595
Title
Director
Phone
(815) 654-1044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1010 Harlem Rd
Machesney Park, IL 61115-2518

Mailing address

1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120821000543 IL Part B Supplier - Clinic/Group Practice 7517114895 Receives reassigned benefits from 4 practitioners
Practice locations: Machesney Park, IL

National Provider Directory

National Provider Directory

Locations

1010 Harlem Rd
Machesney Pk, IL 61115
Phone (815) 654-1044

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1588926414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044",
            "fax_number": "815-639-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HARLEM RD",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152518",
            "telephone_number": "815-654-1044",
            "fax_number": "815-639-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULSEBUS MACHESNEY PARK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "HULSEBUS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-654-1044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.