Active NPI
Natural Healing of Wauconda
- Chiropractor
- Wauconda, IL
National Provider Identifier
1629322300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 DirectoryLocations
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.
-
- Physical Therapist
- Lake Zurich, IL
- NPI 1639189301
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.