Effertz Chiropractic and Wellness Center, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EFFERTZ CHIROPRACTIC AND WELLNESS CENTER, INC.

Practice address

289 Sinsinawa Ave
East Dubuque, IL 61025-1220

Phone

(815) 747-6548

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Elliott Effertz, DCNPI 1649748732

Title

Owner/Chiropractor

Phone

(715) 415-6815

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• Eric Elliott Effertz, DC

  • Chiropractor
  • East Dubuque, IL
  • NPI 1649748732
  Medicare reassignment NPD Authorized official
• David Joseph Weber, D.C.

  • Orthopedic Chiropractor
  • East Dubuque, IL
  • NPI 1215944632
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1043854854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18990 ROUTE 5 W",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610259613",
            "telephone_number": "715-415-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SINSINAWA AVE",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251220",
            "telephone_number": "815-747-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFERTZ CHIROPRACTIC AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "EFFERTZ",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-415-6815",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of East Dubuque (East Dubuque Fire Dept)
• Julie Coder, ED. S.
• David J. Weber Chiropractic Office, Inc., P.C.
• East Dubuque Counseling LTD.
• East Dubuque Unit 119
• Eric Elliott Effertz, DC
• Tara K Einsweiler-Mickelson
• Jennifer Hayes
• Rae Lynn Jackson, M.A.,CCC-SLP
• Dieunn Musser, LCPC

• Chiropractor in East Dubuque, IL
• Providers in East Dubuque, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.