Body and Spine Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011832 Issued in IL

Legal business name

BODY AND SPINE CLINIC LLC

Practice address

3037 Theodore St
Joliet, IL 60435-5191

Phone

(815) 582-0006

NPI assigned

Nov 12, 2012

Last updated

Feb 26, 2020By 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. Carissa M Baranoski, D.C.NPI 1649572496

Title

Chiropractic Physician/Owner

Phone

(815) 582-0006

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Carissa M Baranoski, D.C.

  • Chiropractor
  • Joliet, IL
  • NPI 1649572496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1881938074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-582-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 THEODORE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355191",
            "telephone_number": "815-582-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY AND SPINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "BARANOSKI",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "815-582-0006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B Blunk, DC
• Stevie Bobbitt, M.S. CCC-SLP
• Brittney Marie Bocian, M.S.
• Denise Ann Bockwoldt, PHD, APRN, FNP
• Jessica Bode, M.D.
• Madeline Bohlig
• Gary Michael Bohn, LCPC, CADC
• Sarah Boldman, L.C.S.W.
• Kaitlin Marie Bomba, COTA
• Jennifer Bond, DO

• Chiropractor in Joliet, IL
• Providers in Joliet, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.