Robert Mark Adler, D.C.
Individual provider Active NPI Chiropractor · Princeton, IL
NPI 1043376080 · NPPES record last updated Aug 1, 2014
Key facts
- NPI
- 1043376080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-009905 (IL)
- Practice address
- 17 E Peru St
Princeton, IL 61356-2031 - Phone
- (815) 872-1800
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17 E Peru St
Princeton, IL 61356-2031
Phone (815) 872-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216000555 | IL | Practitioner - Chiropractic | 7618862178 | Practice locations: Princeton, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009905 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-009905 | IL | Yes |
Addresses
Primary practice location
17 E Peru St
Princeton, IL 61356-2031
Mailing address
16537 1200 North Ave
Wyanet, IL 61379-9516
Phone (818) 646-1555
Other providers in Princeton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.