MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD – NPI #1124253836
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD is an AHC clinic located in DOWNERS GROVE, IL. NPPES has assigned the NPI number 1124253836 to MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD on May 26, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 17 years ago on Jun 04, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD below.

NPI Profile for
MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD

NPI Number
1124253836
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAIN STREET CHIROPRACTIC AND WELLNESS CENTER LTD
Primary location
6234 S MAIN STREET
DOWNERS GROVE, IL 60516
Phone: (630) 435-6461 Fax:
Mailing address
6234 S MAIN ST
DOWNERS GROVE, IL 60516
Phone: (630) 435-6461 Fax:
Organization Subpart
No
Authorized Official
MIKE DECUBELLIS
OWNER/CHIROPRACTOR
Phone: (630) 435-6461
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 IL 042.619502

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.