Organization Active NPI

Advanced Chiropractic and Rehabilitation Center, P.C.

  • Chiropractor
  • Champaign, IL
National Provider Identifier
1255512596
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.011019 Issued in IL
Legal business name
ADVANCED CHIROPRACTIC AND REHABILITATION CENTER, P.C.
Practice address
2309 Village Green Place
Suite B
Champaign, IL 61822-6184
Phone
(217) 355-9900
Fax
(217) 355-9886
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Dr. Adam J Chladny, D.C.
Title
President/Owner
Phone
(217) 369-4886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038.011019 IL Primary

Addresses

Primary practice location

2309 Village Green Place
Suite B
Champaign, IL 61822-6184

Mailing address

2309 Village Green Place
Suite B
Champaign, IL 61822-6184
Phone (217) 355-9900

National Provider Directory

National Provider Directory

Locations

2917 Crossing Ct
Ste B1
Champaign, IL 61822
Phone (217) 344-2740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1255512596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 VILLAGE GREEN PLACE",
            "address_2": "SUITE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226184",
            "telephone_number": "217-355-9900",
            "fax_number": "217-355-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 VILLAGE GREEN PLACE",
            "address_2": "SUITE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618226184",
            "telephone_number": "217-355-9900",
            "fax_number": "217-355-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC AND REHABILITATION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "CHLADNY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "217-369-4886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.