Individual provider Active NPI

Tonya Elizabeth Khouri, D.C.

  • Chiropractor
  • Morton, IL
National Provider Identifier
1194047324
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011608 Issued in IL
Practice address
330 S Main St Ste E
Morton, IL 61550-1977
Phone
(093) 291-3150
NPI assigned
Feb 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.011608 IL Primary

Addresses

Primary practice location

330 S Main St Ste E
Morton, IL 61550-1977

Mailing address

330 S Main St
Morton, IL 61550-1976
Phone (309) 291-3150

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

LicenseStateTypeSpecialty
038.011608ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Spines Healthy Minds Chiropractor CurrentSince Mar 1, 2021 Accepting new patients
Joseph & Hishon Integrated Health Center LTD CurrentSince Nov 2, 2015 Accepting new patients
Khouri Chiropractic and Integrated Medicine LLC Chiropractor Past Accepting new patients

Locations

330 S Main St
Morton, IL 61550
Phone (309) 263-7545

330 S Main St
Ste E
Morton, IL 61550
Phone (309) 321-8377

5001 N University St
Ste A
Peoria, IL 61614
Phone (309) 683-3072

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1194047324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501976",
            "telephone_number": "309-291-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S MAIN ST STE E",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615501977",
            "telephone_number": "093-291-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOURI",
        "first_name": "TONYA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.