Organization Active NPI

Malkowski Chiropractic PC

  • Health Maintenance Organization
  • Joliet, IL
National Provider Identifier
1861688699
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
038.010966 Issued in IL
Legal business name
MALKOWSKI CHIROPRACTIC PC
Practice address
1736 Essington Rd
Suite C
Joliet, IL 60435
Phone
(815) 514-8513
NPI assigned
Sep 14, 2007
Last updated
Dec 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Dr. Becky Ross, D.C.
Title
Owner
Phone
(815) 514-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 038.010966 IL Primary

Addresses

Primary practice location

1736 Essington Rd
Suite C
Joliet, IL 60435

Mailing address

550 Silver Leaf Drive
Joliet, IL 60431
Phone (815) 514-8513

National Provider Directory

National Provider Directory

Locations

460 Briargate Dr
Ste 100
South Elgin, IL 60177
Phone (847) 488-1600

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1861688699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SILVER LEAF DRIVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60431",
            "telephone_number": "815-514-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 ESSINGTON RD",
            "address_2": "SUITE C",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-514-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALKOWSKI CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-514-8513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "038.010966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.