Chris M Murry, DC
Individual provider Active NPI Chiropractor · Sparta, IL
NPI 1043398050 · NPPES record last updated Jun 10, 2014
Key facts
- NPI
- 1043398050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038008547 (IL)
- Practice address
- 401 West Broadway
Sparta, IL 62286 - Phone
- (618) 443-6446
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
401 W Broadway St
Sparta, IL 62286-1639
Phone (618) 443-6446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040304000011 | IL | Practitioner - Chiropractic | 0648167502 | Practice locations: Sparta, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008547 | IL | Yes |
Addresses
Primary practice location
401 West Broadway
Sparta, IL 62286
Mailing address
401 West Broadway
Sparta, IL 62286
Phone (618) 443-6446
Other providers in Sparta, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 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.