Individual provider Active NPI

Agnieszka Cluchey, D.C.

  • Orthopedic Chiropractor
  • Galena, IL
National Provider Identifier
1346560752
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
038.011701 Issued in IL
Practice address
300 Summit St
Galena, IL 61036-1638
Phone
(815) 776-7610
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 038.011701 IL Primary
Nutrition Chiropractor 111NN1001X 038.011701 IL

Addresses

Primary practice location

300 Summit St
Galena, IL 61036-1638

Mailing address

300 Summit St
Galena, IL 61036-1638
Phone (815) 776-7610

Other identifiers 2

IdentifierTypeStateIssuer
1346560752OtherILALLIANCE, BCBS-IL, CIGNA, HEALTH PARTNERS, MEDICAL ASSOCIATES, MIDLANDS, UHC
1346560752OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011701ILMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1346560752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361638",
            "telephone_number": "815-776-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SUMMIT ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361638",
            "telephone_number": "815-776-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUCHEY",
        "first_name": "AGNIESZKA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "IL",
            "license": "038.011701",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038.011701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE, BCBS-IL, CIGNA, HEALTH PARTNERS, MEDICAL ASSOCIATES, MIDLANDS, UHC",
            "identifier": "1346560752",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346560752",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.