MAC CHIROPRACTIC LLC (NPI# 1518439710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518439710 |
Entity Type | Organization |
Organization Name | MAC CHIROPRACTIC LLC |
Practice Address |
3815 Progress Blvd Ste C Peru IL 61354-1188 |
Practice Telephone | 8152500953 |
Practice Fax Number | 7792015194 |
Mailing Telephone | 8152500953 |
Mailing Fax Number | 7792015194 |
Enumeration Date | 2018-12-28 |
Last Update Date | 2018-12-28 |
Authorized Official Name | DR. KATRINA MCQUILKIN (DOCTOR, OWNER) |
Authorized Official Telephone | 8152500953 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
3815 PROGRESS BLVD STE C |
City | PERU |
State | IL |
Zip Code | 61354-1188 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265976641 | Katrina Mcquilkin | Chiropractor | 3815 Progress Blvd Ste C, Peru, IL 61354-1188 | 2016-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
Find all providers in zip 61354 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891976296 | Travel Center Clinics | Clinic/Center | 3130 May Rd, Peru, IL 61354-9618 | 2007-11-14 |
1356904163 | St Margaret's Hospital | Clinic/Center | 1650 Midtown Rd, Peru, IL 61354-1200 | 2019-04-17 |
1831521947 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Sutie 312, Peru, IL 61354-2763 | 2013-07-31 |
1467884650 | Illinois Valley Community Hospital | Clinic/Center | 920 West St, Suite 312, Peru, IL 61354-2763 | 2013-07-30 |
1417117540 | Donahue Chiropractic Center | Clinic/Center | 1915 4th St, Suite 2, Peru, IL 61354-3361 | 2008-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MAC CHIROPRACTIC LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.