NPIMap

Organization Active NPI

Mundelein Chiropractic Decompression Center Service Corporation

Doing business as Mundelein Chiropractic Decompression Center

  • Chiropractor
  • Mundelein, IL
National Provider Identifier
1649787730
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.004903 Issued in IL
Legal business name
MUNDELEIN CHIROPRACTIC DECOMPRESSION CENTER SERVICE CORPORATION
Doing business as
Mundelein Chiropractic Decompression Center
Practice address
355 E Il Route 83
Mundelein, IL 60060-4250
Phone
(847) 566-8777
NPI assigned
Jan 10, 2018
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Dr. Michael W Duzey, DCNPI 1811952708
Title
President/Chiropractic Physician
Phone
(847) 566-8777

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 038.004903 IL Primary

Addresses

Primary practice location

355 E Il Route 83
Mundelein, IL 60060-4250

Mailing address

355 E Il Route 83
Mundelein, IL 60060-4250
Phone (847) 566-8777

Other names 1

  • Mundelein Chiropractic Decompression Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1649787730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E IL ROUTE 83",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604250",
            "telephone_number": "847-566-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E IL ROUTE 83",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604250",
            "telephone_number": "847-566-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDELEIN CHIROPRACTIC DECOMPRESSION CENTER SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "DUZEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "847-566-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.004903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mundelein Chiropractic Decompression Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.