NPIMap

Organization Active NPI

Greenwell Family Chiropractic LLC

  • Chiropractor
  • Mt Zion, IL
National Provider Identifier
1104425156
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GREENWELL FAMILY CHIROPRACTIC LLC
Practice address
143 N Henderson St
Mt Zion, IL 62549-1313
Phone
(217) 412-7159
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Eve Marie Greenwell, D.C.NPI 1639785330
Title
Doctor of Chiropractic
Phone
(217) 412-7159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

143 N Henderson St
Mt Zion, IL 62549-1313

Mailing address

143 N Henderson St
Mt Zion, IL 62549-1313
Phone (217) 412-7159

National Provider Directory

National Provider Directory

Locations

143 N Henderson St
Mt Zion, IL 62549
Phone (217) 412-7159

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1104425156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 N HENDERSON ST",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491313",
            "telephone_number": "217-412-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N HENDERSON ST",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491313",
            "telephone_number": "217-412-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "EVE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "217-412-7159",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Zion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.