Active NPI
Franklin Michael Bodnar, D.C.
- Chiropractor
- St Charles, IL
National Provider Identifier
1982921367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038011669
- Practice address
- 302 S 14TH St
St Charles, IL 60174-2511 - Phone
- (630) 513-7770
- NPI assigned
- Apr 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4661012 | WI | |
| Chiropractor | 111N00000X | 038011669 | 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) 513-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982921367 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011669 | IL | MD | Chiropractor |
| 4661012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Pain and Wellness Center, LLC | Chiropractor | Current | Accepting new patients |
| Lakeview Chiropractic and Wellness Clinic, S.C. | Past | Accepting new patients | |
| Nyuli Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
302 S 14th St
St Charles, IL 60174
Phone (630) 513-7770
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- St Charles, IL
- NPI 1225338353
-
- Chiropractor
- St Charles, IL
- NPI 1982646246
-
- Clinic/Center
- Racine, WI
- NPI 1912237132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1982921367",
"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": "630-513-7770"
},
{
"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": "630-513-7770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODNAR",
"first_name": "FRANKLIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4661012",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982921367",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
- Bliss Practice LLC
- Thomas Alden Blood, PH.D.
- Blue Dot Psychotherapy PLLC
- Blue Lavender Clinical Services LLC
- Kailey Bocanegra, LCPC
- Body Solutions Chiropractic & Rehabilitation Ctr, LTD.
- Bodyworks Medical Center of Geneva PLLC
- Bodyworks Medical Center of STC LLC
- Jacob Dalton Boehm, PA-C
- Charia Monique Bolden, CNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.