Conor Macdonald, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227017958 Issued in IL

Practice address

222 W Ontario St
310
Chicago, IL 60654-3652

Phone

(312) 880-9697

Fax

(773) 337-9106

NPI assigned

Nov 15, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Balanced Flow Medical LLC

  • General Practice Physician
  • Chicago, IL
  • NPI 1336656701
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1659813194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W ONTARIO ST",
            "address_2": "310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543652",
            "telephone_number": "312-880-9697",
            "fax_number": "773-337-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W ONTARIO ST",
            "address_2": "310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543652",
            "telephone_number": "312-880-9697",
            "fax_number": "773-337-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "CONOR",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227017958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Macchiaverna
• Giovanna Macchione, LSW
• Patricia Anthony Macclarence, LCSW
• Ellen Louise Maccracken, M.S.
• Erin Sullivan Macdade, DNP
• Douglas Ray Macdonald, OD
• Jennifer Macdonald, MD
• John A Macdonald, RPH
• Kathryn Kamfjord Macdonald, LCSW
• Simon Macdonald, M.D.

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.