Leslie L Baldwin, DC
Individual provider Active NPI Chiropractor · Macomb, IL
NPI 1083768568 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083768568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 1526 West Jackson St
Macomb, IL 61455 - Phone
- (309) 837-1466
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bruenger Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
1526 West Jackson St
Macomb, IL 61455
Mailing address
1526 West Jackson St
Macomb, IL 61455
Phone (309) 837-1466
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5582006 | Other | IL | BCBS |
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.