Active NPI
Schelly Chiropractic, Inc
- Chiropractor
- Peoria, IL
National Provider Identifier
1194027003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38006410
- Legal business name
- SCHELLY CHIROPRACTIC, INC
- Practice address
- 1208 W Loucks
Peoria, IL 61604 - Phone
- (309) 682-6624
- Fax
- (309) 682-6625
- NPI assigned
- Nov 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura J Schelly, DC
- Title
- Owner/Doctor
- Phone
- (309) 682-6624
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38006410 | IL | Primary |
Addresses
Primary practice location
1208 W Loucks
Peoria, IL 61604
Mailing address
1208 W Loucks Ave
Peoria, IL 61604-2604
Phone (309) 682-6624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4238 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-6419
1208 W Loucks Ave
Peoria, IL 61604
Phone (309) 682-6624
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Peoria, IL
- NPI 1689739492
-
- Chiropractor
- Peoria, IL
- NPI 1215787171
-
- Chiropractor
- Peoria, IL
- NPI 1891756664
-
- Chiropractor
- Peoria, IL
- NPI 1396880753
-
- Professional Counselor
- East Peoria, IL
- NPI 1205098480
-
- Chiropractor
- Washington, IL
- NPI 1215021761
-
- Chiropractor
- Peoria, IL
- NPI 1396751897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300924800000",
"number": "1194027003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 W LOUCKS AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616042604",
"telephone_number": "309-682-6624",
"fax_number": "309-682-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 W LOUCKS",
"city": "PEORIA",
"state": "IL",
"postal_code": "61604",
"telephone_number": "309-682-6624",
"fax_number": "309-682-6625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHELLY CHIROPRACTIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-29",
"last_updated": "2011-03-24",
"status": "A",
"authorized_official_last_name": "SCHELLY",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "309-682-6624",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "38006410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.