Jana Rae Wuebbels, D.C.
Individual provider Active NPI Chiropractor · Carlyle, IL
NPI 1235450313 · NPPES record last updated Jun 12, 2010
Key facts
- NPI
- 1235450313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038011626 (IL)
- Practice address
- 971 Eula Mae Pkwy
Carlyle, IL 62231-6400 - Phone
- (618) 594-3671
- NPI assigned
- Jun 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 038011626 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion Healing Center, LTD | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011626 | IL | Yes |
Addresses
Primary practice location
971 Eula Mae Pkwy
Carlyle, IL 62231-6400
Mailing address
401 E Main St
Damiansville, IL 62215-1309
Phone (618) 570-9640
Other providers in Carlyle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2010. 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.