Lebanon Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEBANON CHIROPRACTIC CLINIC PC

Practice address

110 W Saint Louis St
Lebanon, IL 62254-1559

Phone

(618) 537-4407

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dale Fischer, DC

Title

President

Phone

(618) 537-4407

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Marcus Daniel Alvarado, D.C.

  • Chiropractor
  • Highland, IL
  • NPI 1386181469
  NPD (past)
• Emily J Odom, D.C.

  • Chiropractor
  • Lebanon, IL
  • NPI 1275990780
  NPD (past)
• Blake William Randles, D.C.

  • Gerontology Nurse Practitioner
  • Carlinville, IL
  • NPI 1679886675

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1467500850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SAINT LOUIS ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541559",
            "telephone_number": "618-537-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SAINT LOUIS ST",
            "city": "LEBANON",
            "state": "IL",
            "postal_code": "622541559",
            "telephone_number": "618-537-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-537-4407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "634840",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Hudspeth
• Sherry Katzman, SLP
• Adrienne Klein, PT
• Claire M Klinsky, O.D.
• Robert Joseph Klinsky, O.D.
• Lebanon Community Unit School District 9
• Lebanon Hco, LLC
• Lebanon Hco, LLC
• Lebanon Healthcare LLC
• Lebanon Optometric Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.