Organization Active NPI

Natural Healing of Wauconda

  • Chiropractor
  • Wauconda, IL
National Provider Identifier
1629322300
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NATURAL HEALING OF WAUCONDA
Practice address
115 E Liberty St
Wauconda, IL 60084-1929
Phone
(847) 477-6465
NPI assigned
Nov 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. Mark J Gould, DC
Title
President
Phone
(847) 469-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

115 E Liberty St
Wauconda, IL 60084-1929

Mailing address

115 E Liberty St
Wauconda, IL 60084-1929
Phone (847) 477-6465

National Provider Directory

National Provider Directory

Locations

45 S Old Rand Rd
Ste B
Lake Zurich, IL 60047
Phone (847) 550-1818

593 Ela Rd
Lake Zurich, IL 60047
Phone (847) 550-1818

115 E Liberty St
Wauconda, IL 60084
Phone (847) 469-8260

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": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1629322300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841929",
            "telephone_number": "847-477-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600841929",
            "telephone_number": "847-477-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL HEALING OF WAUCONDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-469-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.