Madison Elaine Stewart, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.14142 Issued in 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

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaufman Wellness Center, LTDGroup PAC ID 8921085994, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kaufman Wellness Center, LTD

  • Chiropractor
  • Metamora, IL
  • NPI 1740497957
  Medicare reassignment Care Compare group NPD
• JD Nimrick PC

  dba Premier Healthcare

  • Physical Therapist
  • Peoria, IL
  • NPI 1336150283
  NPD (past)

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1366201287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6135 N KNOLL AIRE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616143420",
            "telephone_number": "309-299-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 OLD GERMANTOWN RD",
            "city": "GERMANTOWN HILLS",
            "state": "IL",
            "postal_code": "615488679",
            "telephone_number": "309-383-2772",
            "fax_number": "309-383-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MADISON",
        "middle_name": "ELAINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.14142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mangold, DPT
• Candace Martell, MS, RDN, LDN
• Suzanne Pavesich, SCHOOL COUNSELOR
• Brent Rassi, DC
• Restoration Counseling PLLC
• Stronger Every Day-Soul Mind and Body, LLC
• Ryan Michael Taylor, PHARMD
• Theraviv Wellness PLLC

• Chiropractor in Germantown Hills, IL
• Providers in Germantown Hills, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.