Main Street Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAIN STREET CHIROPRACTIC, P.C.

Practice address

23915 W Main St
Suite D
Plainfield, IL 60544-1967

Phone

(815) 230-9070

Fax

(815) 230-9334

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott David Stuck, D.C.NPI 1851346001

Title

Owner

Phone

(815) 230-9070

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Main Street Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Main Street Chiropractic

  • Health Maintenance Organization
  • Plainfield, IL
  • NPI 1205223781
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott David Stuck, D.C.

  • Chiropractor
  • Plainfield, IL
  • NPI 1851346001
  Medicare reassignment Care Compare group NPD Authorized official
• Michael Julian Pangrcic, D.C.

  • Chiropractor
  • Plainfield, IL
  • NPI 1275089476
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639394943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "address_2": "SUITE D",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441967",
            "telephone_number": "815-230-9070",
            "fax_number": "815-230-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23915 W MAIN ST",
            "address_2": "SUITE D",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441967",
            "telephone_number": "815-230-9070",
            "fax_number": "815-230-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUCK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-230-9070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9932028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashmira Magar
• Magical Smiles PLLC
• Mahyar Parvin PC (Family Behavioral Health)
• Laura Lindsay Maier, MA CCC-SLP
• Main Street Chiropractic
• Nicole A Majka, LPC
• Noelia Maldonado Garcia
• Irene Maldonado
• Chona G Manabat, P.T.
• Rious G Manabat, P.T.

• Chiropractor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.