Active NPI
Michelle McPolin Boyd, D.C.
- Chiropractor
- La Grange Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38009671
- Practice address
- 355 N la Grange Rd
La Grange Park, IL 60526-5622 - Phone
- (708) 588-8270
- Fax
- (708) 588-8271
- NPI assigned
- Apr 2, 2007
- Last updated
- Jun 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38009671 | IL | Primary |
Addresses
Primary practice location
355 N la Grange Rd
La Grange Park, IL 60526-5622
Mailing address
355 N la Grange Rd
La Grange Park, IL 60526-5622
Phone (708) 588-8270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01632424 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
518 Hillgrove Ave
Suite 275
Western Springs, IL 60558-1460
Phone (708) 588-8270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38009671 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Balance Chiropractic & Acupuncture Center, LTD. | Chiropractor | Current | Accepting new patients |
| Margaret E Brownlie DC PC | Chiropractor | Past | Accepting new patients |
Locations
18 W 1st St
Ste 2
Hinsdale, IL 60521
Phone (630) 455-5885
355 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 588-8270
440 Sherwood Rd
La Grange Pk, IL 60526
Phone (708) 579-1003
518 Hillgrove Ave
Ste 275
Western Springs, IL 60558
Phone (708) 588-8270
Organizations & group practices 2
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.
-
- Chiropractor
- Western Springs, IL
- NPI 1104041706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1790806461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N LA GRANGE RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265622",
"telephone_number": "708-588-8270",
"fax_number": "708-588-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 N LA GRANGE RD",
"city": "LA GRANGE PARK",
"state": "IL",
"postal_code": "605265622",
"telephone_number": "708-588-8270",
"fax_number": "708-588-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "MICHELLE",
"middle_name": "MCPOLIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "38009671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01632424",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grange Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.