Tony Butcher
Individual provider Active NPI Chiropractor · Casey, IL
NPI 1225100795 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225100795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-003938 (IL)
- Practice address
- 409 N Central Ave
Casey, IL 62420-1408 - Phone
- (217) 932-5740
- Fax
- (217) 932-4988
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-003938 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stinson Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
409 N Central Ave
Casey, IL 62420
Phone (217) 932-5740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-003938 | IL | Yes |
Addresses
Primary practice location
409 N Central Ave
Casey, IL 62420-1408
Mailing address
10863 N Rose CT
Casey, IL 62420-3551
Phone (217) 932-5171
Other providers in Casey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.