Organization Active NPI

Conrod Chiropractic Clinic LTD.

  • Chiropractor
  • Morris, IL
National Provider Identifier
1699895201
Registry record updated Mar 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038006182 Issued in IL
Legal business name
CONROD CHIROPRACTIC CLINIC LTD.
Practice address
1802 Division St
Suite 211
Morris, IL 60450-1182
Phone
(815) 941-2225
Fax
(815) 941-2785
NPI assigned
Mar 29, 2007
Last updated
Mar 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2008

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

Authorized official

Name
Dr. Mark Andrew ConrodNPI 1598894313
Title
Pres.
Phone
(815) 941-2225

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038006182 IL Primary

Addresses

Primary practice location

1802 Division St
Suite 211
Morris, IL 60450-1182

Mailing address

1802 Division St
Suite 211
Morris, IL 60450-1182
Phone (815) 941-2225

National Provider Directory

National Provider Directory

Locations

1802 N Division St
Ste 211
Morris, IL 60450
Phone (815) 941-2225

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204416000000",
    "number": "1699895201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 DIVISION ST",
            "address_2": "SUITE 211",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-941-2225",
            "fax_number": "815-941-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 DIVISION ST",
            "address_2": "SUITE 211",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-941-2225",
            "fax_number": "815-941-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROD CHIROPRACTIC CLINIC LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-03-02",
        "status": "A",
        "authorized_official_last_name": "CONROD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "815-941-2225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038006182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2008; 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.