Madison Elaine Stewart, DC
Individual provider Active NPI Chiropractor · Germantown Hills, IL
NPI 1366201287 · NPPES record last updated Mar 14, 2024
Key facts
- NPI
- 1366201287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038.14142 (IL)
- Practice address
- 387 Old Germantown Rd
Germantown Hills, IL 61548-8679 - Phone
- (309) 383-2772
- Fax
- (309) 383-2773
- NPI assigned
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaufman Wellness Center, LTD
Practice addresses (Care Compare)
387 Old Germantown Rd
Germantown Hills, IL 61548-8679
Phone (309) 383-2772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619002158 | IL | Practitioner - Chiropractic | 2163965021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.14142 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaufman Wellness Center, LTD | Chiropractor | Current |
Accepting new patients |
| JD Nimrick PC | Past |
Accepting new patients |
Locations
387 Old Germantown Rd
Germantown Hills, IL 61548
Phone (309) 383-2772
2000 W Pioneer Pkwy
Ste 23
Peoria, IL 61615
Phone (309) 670-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.14142 | IL | Yes |
Addresses
Primary practice location
387 Old Germantown Rd
Germantown Hills, IL 61548-8679
Mailing address
6135 N Knoll Aire Dr
Peoria, IL 61614-3420
Phone (309) 299-4192
Other providers in Germantown Hills, IL
- Candace Martell
- Suzanne Pavesich
- Brent Rassi
- Restoration Counseling PLLC
- Lauren N Stein
- Stronger Every Day-Soul Mind and Body, LLC
- Ryan Michael Taylor
- Theraviv Wellness PLLC
All providers in Germantown Hills, IL · Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.