NPIMap

Organization Active NPI

Brannick Clinic of Natural Medicine, S.C.

  • Internist Chiropractor
  • St Charles, IL
National Provider Identifier
1881868016
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
Legal business name
BRANNICK CLINIC OF NATURAL MEDICINE, S.C.
Practice address
1650 E Main St
St Charles, IL 60174-2373
Phone
(630) 444-0066
Fax
(630) 444-1656
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Authorized official

Name
Michelle A. Brannick, DC, ND
Title
Owner
Phone
(630) 444-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internist ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NI0900X Primary

Addresses

Primary practice location

1650 E Main St
St Charles, IL 60174-2373

Mailing address

1650 E Main St
St Charles, IL 60174-2373
Phone (630) 444-0066

National Provider Directory

National Provider Directory

Locations

1650 E Main St
St Charles, IL 60174
Phone (630) 444-0066

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1881868016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-444-0066",
            "fax_number": "630-444-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742373",
            "telephone_number": "630-444-0066",
            "fax_number": "630-444-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANNICK CLINIC OF NATURAL MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "BRANNICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-444-0066",
        "authorized_official_credential": "DC, ND"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.