Organization Active NPI

Malooley Chiropractic, LLC.

  • Chiropractor
  • Cary, IL
National Provider Identifier
1861717670
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011400 Issued in IL
Legal business name
MALOOLEY CHIROPRACTIC, LLC.
Practice address
652 Northwest Hwy
Cary, IL 60013-2073
Phone
(847) 639-4468
NPI assigned
Apr 5, 2010
Last updated
Apr 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. Nicholas Joseph Malooley, D.C.NPI 1063640076
Title
President
Phone
(847) 639-4468

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011400 IL Primary

Addresses

Primary practice location

652 Northwest Hwy
Cary, IL 60013-2073

Mailing address

652 Northwest Hwy
Cary, IL 60013-2073
Phone (847) 639-4468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101008000960 IL Part B Supplier - Clinic/Group Practice 1153513171 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, IL

National Provider Directory

National Provider Directory

Locations

652 Northwest Hwy
Cary, IL 60013
Phone (847) 639-4468

Practitioners & affiliated clinicians

Practitioners 4

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": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1861717670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 NORTHWEST HWY",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132073",
            "telephone_number": "847-639-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 NORTHWEST HWY",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600132073",
            "telephone_number": "847-639-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOOLEY CHIROPRACTIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "MALOOLEY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-639-4468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.