Mario Fucinari DC LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-005800 Issued in IL

Legal business name

MARIO FUCINARI DC LLC

Doing business as

Decatur Back and Neck Center

Practice address

3350 N Water St
Suite a
Decatur, IL 62526-2353

Phone

(217) 877-2404

Fax

(217) 877-2522

NPI assigned

Feb 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mario Paul Fucinari, DC

Title

Owner

Phone

21787724074

Specialties & licenses 1

Addresses

Other names 1

• Decatur Back and Neck Center Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter William Vercellino, DC

  • Chiropractor
  • Decatur, IL
  • NPI 1619434388
  NPD
• Zachary A Hubner, D.C.

  • Chiropractor
  • Quincy, IL
  • NPI 1932354552
  NPD (past)
• James Andrew Symonds, D.C.

  • Chiropractor
  • Decatur, IL
  • NPI 1346422128
  NPD (past)

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1780853119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 N WATER ST",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262353",
            "telephone_number": "217-877-2404",
            "fax_number": "217-877-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 N WATER ST",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262353",
            "telephone_number": "217-877-2404",
            "fax_number": "217-877-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO FUCINARI DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "FUCINARI",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "21787724074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Back and Neck Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boniface B Malangu, MD
• Jonathon Manney
• Jennifer Maples
• Marc Vision Care, LTD.
• Mia Marcellus
• Megan R Markwell, RN
• Judy M Marrs
• Emily Mars
• Cynthia D Marschner, DO
• Julie Ann Marsh

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.