Individual provider Active NPI

Jillian Mlinarcik, D.C

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1861894875
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.012695 Issued in IL
Practice address
1891 Bay Scott Cir Ste 115
Naperville, IL 60540-1138
Phone
(630) 364-2301
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.012695 IL Primary

Addresses

Primary practice location

1891 Bay Scott Cir Ste 115
Naperville, IL 60540-1138

Mailing address

PO Box 2262
Naperville, IL 60567-2262
Phone (231) 510-0595

Other practice location 1

115 W Wesley St
Suite 2
Wheaton, IL 60187-5137
Phone (231) 510-0595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313003430 IN Practitioner - Chiropractic 0941646897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.012695ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Dynamic Chiropractic & Wellness Chiropractor Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Jan 8, 2024 Accepting new patients
Northshore Health Centers, Inc. Past Accepting new patients

Locations

1891 Bay Scott Cir
Ste 115
Naperville, IL 60540
Phone (630) 346-2302

801 Broadway
Chesterton, IN 46304
Phone (219) 764-5311

310 W 112th Ave
Crown Point, IN 46307
Phone (219) 763-8113

1828 165th St
Ste A
Hammond, IN 46320
Phone (219) 764-5349

2490 Central Ave
Lake Station, IN 46405

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: jillian.mlinarikjackson.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861894875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2262",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605672262",
            "telephone_number": "231-510-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 BAY SCOTT CIR STE 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401138",
            "telephone_number": "630-364-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Wesley St",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601875137",
            "country_code": "US",
            "telephone_number": "231-510-0595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MLINARCIK",
        "first_name": "JILLIAN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.012695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.