Mind Body Spirit Service Corp

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

038010766 Issued in IL

Legal business name

MIND BODY SPIRIT SERVICE CORP

Practice address

304 E Rand Rd
Ste 240
Arlington Heights, IL 60004-3182

Phone

(847) 255-2225

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Edward McGovern, D.C.NPI 1336365030

Title

Owner

Phone

(847) 255-2225

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Edward McGovern, D.C.

  • Chiropractor
  • South Elgin, IL
  • NPI 1336365030
  NPD (past) Authorized official

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1821413683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E RAND RD",
            "address_2": "STE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043182",
            "telephone_number": "847-255-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E RAND RD",
            "address_2": "STE 240",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043182",
            "telephone_number": "847-255-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-255-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amirah Miller-Johnson
• Abigail Miller
• Amy Caroline Miller, PT
• Sarah Ann Miller, DC
• Trina Lynn Miller, BCBA
• Mindworks, Inc.
• Michele Miner, LCPC DPEA
• Kristin Mintjal
• Laura Elizabeth Minton, SLP
• Jasmine Mirabelli, APN-CRNA

• Preferred Provider Organization in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Preferred Provider Organization in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.