Sherman Chiropractic LLC
Organization Active NPI Chiropractor · Sherman, IL
NPI 1194921080 · NPPES record last updated May 13, 2008
Key facts
- NPI
- 1194921080
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038008204 (IL)
- Legal business name
- SHERMAN CHIROPRACTIC LLC
- Practice address
- 420 S Crossing Rd
Sherman, IL 62684-9640 - Phone
- (217) 496-3636
- Fax
- (217) 496-3838
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John P Folkerts, D.C.
- Title
- Owner
- Phone
- (217) 496-3636
Practitioners 3
-
John P Folkerts, DC
-
Melissa Jo Henrikson, LMT
-
April M Lanier, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080412000061 | IL | Part B Supplier - Clinic/Group Practice | 4688751886 |
Receives reassigned benefits from 1 practitioner Practice locations: Sherman, IL |
National Provider Directory
Locations
420 Crossing Dr
Sherman, IL 62684
Phone (217) 496-3636
420 Crossing Dr
Ste 3
Sherman, IL 62684
Phone (217) 496-3636
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 038008204 | IL | Yes |
Addresses
Primary practice location
420 S Crossing Rd
Sherman, IL 62684-9640
Mailing address
PO Box 380
420 South Crossing Drive
Sherman, IL 62684-0380
Phone (217) 496-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038008204 | Medicaid | IL | |
| 08408756 | Other | IL | BLUE CROSS PROVIDER ID |
Other providers in Sherman, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.