Organization Active NPI

Nyuli Chiropractic, P.C.

  • Chiropractor
  • St Charles, IL
National Provider Identifier
1982646246
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038003148 Issued in IL
Legal business name
NYULI CHIROPRACTIC, P.C.
Practice address
302 S 14TH St
St Charles, IL 60174-2511
Phone
(630) 584-5800
Fax
(630) 584-6190
NPI assigned
Jun 12, 2006
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mr. John Nyuli, D.C.NPI 1376741108
Title
Doctor
Phone
(630) 584-5800

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
Chiropractor 111N00000X 038003148 IL Primary

Addresses

Primary practice location

302 S 14TH St
St Charles, IL 60174-2511

Mailing address

302 S 14TH St
St Charles, IL 60174-2511
Phone (630) 584-5800

Other identifiers 1

IdentifierTypeStateIssuer
4532273OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1982646246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 14TH ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742511",
            "telephone_number": "630-584-5800",
            "fax_number": "630-584-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 14TH ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742511",
            "telephone_number": "630-584-5800",
            "fax_number": "630-584-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYULI CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "NYULI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-584-5800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4532273",
            "state": "IL"
        }
    ],
    "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 Sep 2, 2011; 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.