Knecht Chiropractic Clinic, P.C.
Organization Active NPI Chiropractor · Chicago, IL
NPI 1124200928 · NPPES record last updated Dec 4, 2007
Key facts
- NPI
- 1124200928
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- KNECHT CHIROPRACTIC CLINIC, P.C.
- Practice address
- 3444 N Halsted St
Chicago, IL 60657-2424 - Phone
- (773) 525-9100
- Fax
- (773) 525-9105
- NPI assigned
- Dec 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew T. Knecht, D.C.
- Title
- President
- Phone
- (773) 525-9100
Practitioners 10
-
Andrew T Knecht, D.C.
-
Brittni M Lorton, DC
-
Meaghan Victoria Clemens, D.C.
-
Stacey Ann Cline, DC
-
La Jena Miller, DC
-
Travis Rogers, D.C.
-
Carla Ann Sullivan, D.C.
-
Ronald Maxwell Masters, D.C.
-
Cecilia Yu, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051214000353 | IL | Part B Supplier - Clinic/Group Practice | 8224059571 |
Receives reassigned benefits from 2 practitioners Practice locations: Chicago, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | IL | Yes |
Addresses
Primary practice location
3444 N Halsted St
Chicago, IL 60657-2424
Mailing address
3444 N Halsted St
Chicago, IL 60657-2424
Phone (773) 525-9100
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.