Chester Clinic Professional Corp.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CHESTER CLINIC PROFESSIONAL CORP.

Doing business as

Steeleville Family Practice

Practice address

602 W Shawneetown TRL
Steeleville, IL 62288-1126

Phone

(618) 965-3382

NPI assigned

May 14, 2010

Organization subpart

Yes

Parent organization

CHESTER CLINIC PROFESSIONAL CORP.As reported in NPPES

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

Authorized official

Name

Donna Martin

Title

Practice Administrator

Phone

(618) 965-3382

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Steeleville Family Practice Doing business as

Tax ID family

Chester Clinic Professional Corp2 organizations share this tax ID, including this one

Part of

Chester Clinic Professional Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chester Clinic Professional Corp

  • Family Medicine Physician
  • Chester, IL
  • NPI 1235117417
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Chester Clinic Professional Corp

  • Family Medicine Physician
  • Chester, IL
  • NPI 1235117417
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D Robbins, M.D.

  • Family Medicine Physician
  • Fredericktown, MO
  • NPI 1881705564
  NPD

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1104144187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W SHAWNEETOWN TRL",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W SHAWNEETOWN TRL",
            "city": "STEELEVILLE",
            "state": "IL",
            "postal_code": "622881126",
            "telephone_number": "618-965-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER CLINIC PROFESSIONAL CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHESTER CLINIC PROFESSIONAL CORP.",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-965-3382"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "962310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steeleville Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Chamness, PA-C
• Chester Medical Group, LLC
• Anthony Lee Esker, R.PH.
• F Like Frank, PC
• Adrian Douglas Feinerman, MD
• H&S Pharmacies, LLC

• Clinic/Center in Steeleville, IL
• Providers in Steeleville, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.