Organization Active NPI

Mt. Zion Chiropractic Clinic LLC

Doing business as Alpha Integrative Medicine

  • Chiropractor
  • Mt Zion, IL
National Provider Identifier
1003653692
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MT. ZION CHIROPRACTIC CLINIC LLC
Doing business as
Alpha Integrative Medicine
Practice address
103 E Ashland Ave
Mt Zion, IL 62549-1272
Phone
(217) 864-5566
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Dr. Chris Ntor-Ue, DC LACNPI 1801440557
Title
President
Phone
(630) 415-9846

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Acupuncturist 171100000X NU

Addresses

Primary practice location

103 E Ashland Ave
Mt Zion, IL 62549-1272

Mailing address

103 E Ashland Ave
Mt Zion, IL 62549-1272
Phone (217) 864-5566

Other names 1

  • Alpha Integrative Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250205003489 IL Part B Supplier - Clinic/Group Practice 1153851142 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Zion, IL

National Provider Directory

National Provider Directory

Locations

103 E Ashland Ave
Mt Zion, IL 62549
Phone (217) 864-5566

Practitioners & affiliated clinicians

Practitioners 1

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": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1003653692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E ASHLAND AVE",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491272",
            "telephone_number": "217-864-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E ASHLAND AVE",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491272",
            "telephone_number": "217-864-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. ZION CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "NTOR-UE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-415-9846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.