Pain Relief Chiropractic

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Legal business name

PAIN RELIEF CHIROPRACTIC

Practice address

1128 Monroe St
Galesburg, IL 61401-2542

Phone

(309) 343-0028

NPI assigned

Oct 10, 2012

Last updated

Oct 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery Wilson, DCNPI 1205939014

Title

Owner

Phone

(309) 343-0028

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery James Wilson, DC

  • Chiropractor
  • Galesburg, IL
  • NPI 1205939014
  Authorized official Same address or phone

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1295087575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 MONROE ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012542",
            "telephone_number": "309-343-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 MONROE ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012542",
            "telephone_number": "309-343-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN RELIEF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-343-0028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reuel D Owen, DDS
• Ann Marie Pachniak, A.T.C.
• Packingham Holdings
• Pasupathy Padmanabhan, MD
• Dominic Paguio, PHARM.D.
• Emily Palmer
• Nestor A Pamatmat, M.D.
• Subash Paralikar, M.D.
• Debora Sue Parrish, PTA
• Karen Lynn Pasko, RPH

• Sports Physician Chiropractor in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.