Bloomington-Normal Spine Clinic,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038005506 Issued in IL

Legal business name

BLOOMINGTON-NORMAL SPINE CLINIC,PC

Practice address

2405 Ge Rd
#3
Bloomington, IL 61704-8596

Phone

(309) 661-2725

Fax

(309) 661-2730

NPI assigned

Apr 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Steve K Schimelpfenig, D.C

Title

Owner

Phone

(309) 661-2725

Specialties & licenses 1

Addresses

Other names 1

• normal spine clinic Other name

Locations

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1083000970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 G.E.ROAD",
            "address_2": "#3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048597",
            "telephone_number": "309-661-2725",
            "fax_number": "309-661-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 GE RD",
            "address_2": "#3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048596",
            "telephone_number": "309-661-2725",
            "fax_number": "309-661-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON-NORMAL SPINE CLINIC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "SCHIMELPFENIG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-661-2725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038005506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "normal spine clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.