Minardi Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038006101 Issued in IL

Legal business name

MINARDI CHIROPRACTIC PC

Practice address

125 S Route 47
Sugar Grove, IL 60554

Phone

(630) 466-7688

Fax

(630) 466-7693

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Minardi, DC

Title

Owner President

Phone

(630) 466-7688

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1639281546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605540364",
            "telephone_number": "630-466-7688",
            "fax_number": "630-466-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S ROUTE 47",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "60554",
            "telephone_number": "630-466-7688",
            "fax_number": "630-466-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINARDI CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MINARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "630-466-7688",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4527418",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER NUMBER",
            "identifier": "131154",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000798016012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MCC of Sugar Grove, LLC (Prairie Pointe Assisted Living)
• Bridget McCracken
• Janet Jean Meeks, LCPC
• Patricia C Megchelsen, P.T.
• Michael W Elgersma (Elgersma Counseling Services)
• Joseph Minardi, D.C.
• Viral Modi
• Joseph N Mork, PA-C
• Morgan Marie Motley, M.S., BCBA, LBA-IL
• Suhayb Mustafa

• Chiropractor in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.