Justin Kyle Hamel, D.C.
Individual provider Active NPI Chiropractor · Carrollton, IL
NPI 1184986754 · NPPES record last updated Jun 11, 2012
Key facts
- NPI
- 1184986754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038012198 (IL)
- Practice address
- 425 N Main St
Carrollton, IL 62016-1136 - Phone
- (217) 942-6272
- NPI assigned
- Jun 11, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Medical and Performance Solutions Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038012198 | IL | Yes |
Addresses
Primary practice location
425 N Main St
Carrollton, IL 62016-1136
Mailing address
425 N Main St
Carrollton, IL 62016-1136
Other providers in Carrollton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.