Midwest Chiropractic Center P.C.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

038003573 Issued in IL

Legal business name

MIDWEST CHIROPRACTIC CENTER P.C.

Practice address

1210 Towanda Ave
Suite 16
Bloomington, IL 61701-3454

Phone

(309) 829-1010

Fax

(309) 829-0142

NPI assigned

May 12, 2010

Organization subpart

Yes

Parent organization

MIDWEST CHIROPRACTIC CENTER P.C.As reported in NPPES

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

Authorized official

Name

Dr. Donald William Hankins, D.C.

Title

President

Phone

(309) 829-1010

Specialties & licenses 1

Addresses

Part of

Midwest Chiro Ctr PC

Locations

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1700104064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 TOWANDA AVE",
            "address_2": "SUITE 16",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013454",
            "telephone_number": "309-829-1010",
            "fax_number": "309-829-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 TOWANDA AVE",
            "address_2": "SUITE 16",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013454",
            "telephone_number": "309-829-1010",
            "fax_number": "309-829-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST CHIROPRACTIC CENTER P.C.",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-829-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "038003573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Exclusive Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.