Active NPI
Marshall Family Wellness LLC
Doing business as Chicago Spine and Joint Care
- Chiropractor
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MARSHALL FAMILY WELLNESS LLC
- Doing business as
- Chicago Spine and Joint Care
- Practice address
- 111 W Jackson Blvd Ste 1160
Chicago, IL 60604-3896 - Phone
- (312) 583-0061
- Fax
- (312) 583-0061
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 10, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mikel Marshall, DC
- Title
- President
- Phone
- (312) 583-0061
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NU | Primary | |
| Acupuncturist | 171100000X | NU | ||
| Rehabilitation Chiropractor | 111NR0400X | NU |
Addresses
Primary practice location
111 W Jackson Blvd Ste 1160
Chicago, IL 60604-3896
Mailing address
111 W Jackson Blvd Ste 1160
Chicago, IL 60604-3896
Phone (312) 583-0061
Other names 1
- Chicago Spine and Joint Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 W Jackson Blvd
Ste 1160
Chicago, IL 60604
Phone (312) 583-0061
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Chicago, IL
- NPI 1407454424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725926400000",
"number": "1962125864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD STE 1160",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043896",
"telephone_number": "312-583-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD STE 1160",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043896",
"telephone_number": "312-583-0061",
"fax_number": "312-583-0061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL FAMILY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-26",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "MIKEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-583-0061",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chicago Spine and Joint Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.