Christie Clinic, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHRISTIE CLINIC, LLC

Doing business as

Christie Clinic, LLC

Practice address

2502 E Empire St Ste a
Bloomington, IL 61704-3739

Phone

(309) 300-1031

Fax

(309) 717-0003

NPI assigned

Jun 1, 2021

Organization subpart

No

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

Authorized official

Name

William Pierce, DPM

Title

Cmo

Phone

(217) 366-8107

Specialties & licenses 1

Addresses

Other names 1

• Christie Clinic, LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1194391078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203981",
            "telephone_number": "217-366-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST STE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043739",
            "telephone_number": "309-300-1031",
            "fax_number": "309-717-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "217-366-8107",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christie Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Astha Chokshi, PA
• Asifa Choudhry, MD
• Kee Young Chow, MD
• Jay Wesley Chrisman, D.D.S.
• Grace Christianson
• Lauren M Christie, DPM
• Alexandra Cichy, LPC
• Kele A Cioflec, MS, ATC
• Circles Behavior Consultation Services Inc
• City of Bloomington

• Durable Medical Equipment & Medical Supplies in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.