Personal Best Chiropractic, LLC
Organization Active NPI Chiropractor · Monmouth, IL
NPI 1417545658 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1417545658
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- PERSONAL BEST CHIROPRACTIC, LLC
- Practice address
- 107 N Main St
Monmouth, IL 61462-1738 - Phone
- (309) 299-6968
- NPI assigned
- Jan 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Payton Holmes, DC
- Title
- Owner
- Phone
- (309) 299-6968
Practitioners 1
-
Payton Holmes, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210830001926 | IL | Part B Supplier - Clinic/Group Practice | 4486059466 |
Receives reassigned benefits from 1 practitioner Practice locations: Monmouth, IL |
National Provider Directory
Locations
107 N Main St
Monmouth, IL 61462
Phone (309) 299-6968
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
107 N Main St
Monmouth, IL 61462-1738
Mailing address
510 NE 6TH Ave
Aledo, IL 61231-1155
Other providers in Monmouth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.