Chevi B. Guthrie, D.C.
Individual provider Active NPI Chiropractor · Eureka, IL
NPI 1013157148 · NPPES record last updated Jan 11, 2013
Key facts
- NPI
- 1013157148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038010649 (IL)
- Practice address
- 105 W Mill St
Eureka, IL 61530-1138 - Phone
- (309) 304-1016
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010649 | IL | MD | Chiropractor |
| 2006013039 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Chiropractic Services, LLC | Chiropractor | Past | Accepting new patients |
| Triad Sports and Family Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2006013039 | MO | |
| Chiropractor | 111N00000X | 038010649 | IL | Yes |
Addresses
Primary practice location
105 W Mill St
Eureka, IL 61530-1138
Mailing address
105 W Mill St
Eureka, IL 61530-1138
Other providers in Eureka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.