Active NPI
Susan Marie Minder, D.C.
- Chiropractor
- Springfield, IL
National Provider Identifier
1124236989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Practice address
- 2025 W Iles Ave
Suite B
Springfield, IL 62704-4190 - Phone
- (217) 241-5300
- Fax
- (217) 241-5322
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary | |
| Rehabilitation Chiropractor | 111NR0400X | IL |
Addresses
Primary practice location
2025 W Iles Ave
Suite B
Springfield, IL 62704-4190
Mailing address
2025 W Iles Ave
Suite B
Springfield, IL 62704-4190
Phone (217) 241-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-20187 | Other | BLUE CROSS & BLUE SHIELD | |
| 339643 | Other | HEALTH LINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008238 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1124236989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 W ILES AVE",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044190",
"telephone_number": "217-241-5300",
"fax_number": "217-241-5322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 W ILES AVE",
"address_2": "SUITE B",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627044190",
"telephone_number": "217-241-5300",
"fax_number": "217-241-5322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINDER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "84-20187",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "339643",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.