NPIMap

Organization Active NPI

McHenry Chiropractic PLLC

Doing business as Evolve Chiropractic

  • Chiropractor
  • McHenry, IL
National Provider Identifier
1992247878
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011540 Issued in IL
Legal business name
MCHENRY CHIROPRACTIC PLLC
Doing business as
Evolve Chiropractic
Practice address
3923 Mercy Dr
McHenry, IL 60050-3173
Phone
(847) 802-3313
NPI assigned
Nov 9, 2016
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Scott Cruse, DCNPI 1003103938
Title
Owner
Phone
(224) 250-3526

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 038011540 IL Primary

Addresses

Primary practice location

3923 Mercy Dr
McHenry, IL 60050-3173

Mailing address

3923 Mercy Dr
McHenry, IL 60050-3173
Phone (847) 802-3313

Other names 1

  • Evolve Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170213000433 IL Part B Supplier - Clinic/Group Practice 3678856986 Receives reassigned benefits from 6 practitioners
Practice locations: McHenry, IL

National Provider Directory

National Provider Directory

Locations

3923 Mercy Dr
McHenry, IL 60050
Phone (815) 271-5901

Practitioners & affiliated clinicians

Practitioners 8

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": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1992247878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "847-802-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503173",
            "telephone_number": "847-802-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CRUSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-250-3526",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.