Princeton Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRINCETON CHIROPRACTIC CENTER LLC

Practice address

222 N Main St
Princeton, IL 61356-1727

Phone

(815) 875-3861

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alexandria Geisz Bertolino, DC

Title

DC

Phone

(815) 210-2090

Specialties & licenses 1

Addresses

Other names 1

• Princeton Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Alexandria Bertolino, D.C.

  • Chiropractor
  • Princeton, IL
  • NPI 1306432216
  Medicare reassignment NPD
• Richard C Everett, D.C.

  • Chiropractor
  • Princeton, IL
  • NPI 1619050689
  NPD
• Barbara J Swalve Everett, D.C.

  • Chiropractor
  • Princeton, IL
  • NPI 1619050671
  NPD
• David Keane Kalapp, D.C.

  • Chiropractor
  • Princeton, IL
  • NPI 1184782294
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1134851124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561727",
            "telephone_number": "815-875-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MAIN ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561727",
            "telephone_number": "815-875-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "GEISZ BERTOLINO",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "815-210-2090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alison Pienta, LMT
• Ahlyssa Pinter, LCSW
• Play It Forward Counseling LLC
• Kendra Mae Poole, APRN FNP-C
• Ashton Prince, COTA
• Princeton Dental Care, LTD.
• Princeton Elem School Dist 115
• Princeton Emergency Services, LLC
• Princeton Family Dentistry, LTD
• Princeton Family Physicians, S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.