Denise A Amundson, DC
Individual provider Active NPI Chiropractor · Chillicothe, IL
NPI 1295898047 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295898047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 723 N Second St
Chillicothe, IL 61523 - Phone
- (309) 274-5380
- Fax
- (309) 274-8163
- NPI assigned
- Dec 19, 2006
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Community Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Yes |
Addresses
Primary practice location
723 N Second St
Chillicothe, IL 61523
Mailing address
723 N Second St
Chillicothe, IL 61523
Phone (309) 274-5380
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10671463 | Other | IL | UNICARE |
| 0007208710 | Other | IL | BLUE CROSS BS |
Other providers in Chillicothe, 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.