Preventive Health & Weight Loss PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-010812 Issued in IL

Legal business name

PREVENTIVE HEALTH & WEIGHT LOSS PC

Practice address

525 N Main St
Anna, IL 62906-1622

Phone

(618) 833-2179

Fax

(618) 833-4596

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By 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

Dr. Charles E Koester, D.C.NPI 1649345810

Title

President

Phone

(618) 833-2179

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Charles E. Koester, D.C.

  • Chiropractor
  • Anna, IL
  • NPI 1649345810
  NPD (past) Authorized official

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1093955668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061622",
            "telephone_number": "618-833-2179",
            "fax_number": "618-833-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061622",
            "telephone_number": "618-833-2179",
            "fax_number": "618-833-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE HEALTH & WEIGHT LOSS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "KOESTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-833-2179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Pind, APN
• Jamie Poninski, LPN
• Rebecca Royann Poole
• Teresa Lynn Powers, D.T.
• Janet L Pregel, P.H.D.
• PRN Pharmacies LTD (Home Health Solutions)
• Lela Quaid
• R&J Enterprises Country Living, Inc
• Corrie L Ralls
• Kathy Ann Rambeau, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.