Jerseyville Chiropractic and Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JERSEYVILLE CHIROPRACTIC AND REHAB LLC

Doing business as

Williams Chiropractic

Practice address

519 S State St
Jerseyville, IL 62052-2241

Phone

(618) 639-6611

NPI assigned

Dec 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Branden Race, DC

Title

Coo

Phone

(636) 345-8400

Specialties & licenses 2

Addresses

Other names 1

• Williams Chiropractic Doing business as

Locations

Practitioners 1

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

• Ravi Vinubhai Patel, DC

  • Chiropractor
  • Edwardsville, IL
  • NPI 1578191953
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1407452345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SALT LICK RD # 280",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633765974",
            "telephone_number": "636-345-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522241",
            "telephone_number": "618-639-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEYVILLE CHIROPRACTIC AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "RACE",
        "authorized_official_first_name": "BRANDEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "636-345-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williams Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Williams Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jersey Community Hospital District (Jersey Community Hospital)
• Jersey County Anesthesia Group LTD
• Jersey County Health Department
• Jersey County Health Department
• Jersey Family Vision Care, LTD
• Jerseyville Dental Group LLC
• Jerseyville Estates
• Trent Jilg
• Julia D Joellenbeck, BEHAVIOR TECHNICIAN
• Callie Johnson, LPC

• Chiropractor in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.