Organization Active NPI

McClure Chiropractic and Acupuncture, P.C.

  • Chiropractor
  • Bartlett, IL
National Provider Identifier
1891995502
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007476 Issued in IL
Legal business name
MCCLURE CHIROPRACTIC AND ACUPUNCTURE, P.C.
Practice address
111 W Railroad Ave
Bartlett, IL 60103-4498
Phone
(630) 837-3090
Fax
(630) 837-3053
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Dr. Donald D McClure, DCNPI 1487756185
Title
Owner
Phone
(630) 837-3090

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038007476 IL Primary

Addresses

Primary practice location

111 W Railroad Ave
Bartlett, IL 60103-4498

Mailing address

111 W Railroad Ave
Bartlett, IL 60103-4498
Phone (630) 837-3090

Other identifiers 1

IdentifierTypeStateIssuer
038007476MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000856 IL Part B Supplier - Clinic/Group Practice 8224091269 Receives reassigned benefits from 1 practitioner
Practice locations: Bartlett, IL

National Provider Directory

National Provider Directory

Locations

111 W Railroad Ave
Bartlett, IL 60103
Phone (618) 203-3132

Practitioners & affiliated clinicians

Practitioners 2

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1891995502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034498",
            "telephone_number": "630-837-3090",
            "fax_number": "630-837-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W RAILROAD AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034498",
            "telephone_number": "630-837-3090",
            "fax_number": "630-837-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE CHIROPRACTIC AND ACUPUNCTURE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-837-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038007476",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.