Michele Bourdage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.013577 Issued in IL

Practice address

110 S. Wynstone Park Drive
Suite 105
N. Barrington, IL 60010

Phone

(847) 540-6060

Fax

(547) 277-8012

NPI assigned

May 12, 2015

Last updated

May 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Menner Chiropractic, LLC

  • Chiropractor
  • North Barrington, IL
  • NPI 1720201957
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1790163673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S. WYNSTONE PARK DRIVE",
            "address_2": "SUITE 105",
            "city": "N. BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-540-6060",
            "fax_number": "547-277-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S. WYNSTONE PARK DRIVE",
            "address_2": "SUITE 105",
            "city": "N. BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-540-6060",
            "fax_number": "547-277-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDAGE",
        "first_name": "MICHELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.013577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Beranich, PTA
• Brauch Family Chiropractic
• Jennifer Marie Brauch, D.C.
• Alan David Broering, D.C.
• Patricia A Brossard, D.C.
• Janet Hilary Century, D.D.S.

• Massage Therapist in N Barrington, IL
• Providers in N Barrington, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.