Adams Enterprises of East Central Illinois PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038-007231 Issued in IL

Legal business name

ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC

Practice address

1109 N State St
Monticello, IL 61856-1175

Phone

(217) 762-8576

Fax

(217) 762-8578

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Gay Lynne Adams, DCNPI 1073652913

Title

President

Phone

(217) 762-8576

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gay Lynne Adams, DC

  • Chiropractor
  • Monticello, IL
  • NPI 1073652913

  IL

  Medicare reassignment Authorized official
• Kalynn Nicole Schriefer, DMD

  • Dentist
  • Monticello, IL
  • NPI 1457183089
  NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1366705113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618560235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N STATE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561175",
            "telephone_number": "217-762-8576",
            "fax_number": "217-762-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GAY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-762-8576",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038-007231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "07423137",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gay Lynne Adams, DC
• Julie Baldinger, DO
• Christy Barre, NP
• Tara C Beckett, LCSW
• Raymond Carl Bement, MA, LCSW

• Clinic/Center in Monticello, IL
• Providers in Monticello, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.