Fitzsimmons Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FITZSIMMONS CHIROPRACTIC P.C.

Practice address

300 E Baltimore St
Wilmington, IL 60481-1236

Phone

(815) 476-3700

Fax

(815) 476-1067

NPI assigned

May 31, 2007

Last updated

Nov 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Melissa Fitzsimmons, D.C.NPI 1356457873

Title

President

Phone

(815) 476-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Mary Melissa Fitzsimmons, D.C.

  • Chiropractor
  • Wilmington, IL
  • NPI 1356457873
  Authorized official Same address or phone

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1679774947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BALTIMORE ST",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811236",
            "telephone_number": "815-476-3700",
            "fax_number": "815-476-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BALTIMORE ST",
            "city": "WILMINGTON",
            "state": "IL",
            "postal_code": "604811236",
            "telephone_number": "815-476-3700",
            "fax_number": "815-476-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZSIMMONS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-476-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0009926858",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Cullick, MSN, FNP
• Chester Joseph Dziuban, LCSW
• Elizabeth M Eaton, LCPC
• Embassy Care Center
• Embassy Holdings LLC (Embassy Health Care Center)
• Mary Melissa Fitzsimmons, D.C.
• Grand Dental Associates, P.C. (Grand Dental - Wilmington)
• Steffanie Hazelton, M.S.
• Amber Higgins
• Highland Park CVS, L.L.C (CVS Pharmacy #10761)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.