Mark William Severance, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009481 Issued in IL

Practice address

300 Center Dr
Suite 109
Vernon Hills, IL 60061-1525

Phone

(847) 984-6460

Fax

(847) 984-6462

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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)

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 and National Provider Directory roles.

• Wellview Partners, LLC

  • Nutrition Chiropractor
  • Lake Forest, IL
  • NPI 1174896484
  NPD (past) Authorized official
• Chiropractic Works of Illinois, LTD.

  • Internist Chiropractor
  • Vernon Hills, IL
  • NPI 1699953745
  NPD (past)
• GM Chiropractic Services, LTD.

  • Chiropractor
  • Palatine, IL
  • NPI 1205187648
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1750503454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 DIAMOND POINTE DR",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600605602",
            "telephone_number": "224-578-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CENTER DR",
            "address_2": "SUITE 109",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611525",
            "telephone_number": "847-984-6460",
            "fax_number": "847-984-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Serbu
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• Anthony A Serpico, O.D.
• Steve Sesterhenn, MD
• Neal Shah, M.D.
• Shalini Varma MD
• Erin M Shapiro
• Josie Shapiro, PA-C
• Shark Addiction Treatment

• Chiropractor in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.