Bloomington Chiropractic Center, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

060002911- 038007235 Issued in IL

Legal business name

BLOOMINGTON CHIROPRACTIC CENTER, LTD.

Practice address

409 S Prospect Rd
Suite a
Bloomington, IL 61704-4581

Phone

(309) 663-8388

Fax

(309) 663-0929

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John M Everingham, D.C.

Title

Senior Assoicate

Phone

(309) 663-8388

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Brent Alan Beyer, D.C.

  • Chiropractor
  • Arrowsmith, IL
  • NPI 1922074129
  NPD (past)
• William Joseph Rademacher, D.C.

  • Chiropractor
  • Bloomington, IL
  • NPI 1326125501
  NPD (past)

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1487833992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S PROSPECT RD",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044581",
            "telephone_number": "309-663-8388",
            "fax_number": "309-663-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S PROSPECT RD",
            "address_2": "SUITE A",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044581",
            "telephone_number": "309-663-8388",
            "fax_number": "309-663-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON CHIROPRACTIC CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "EVERINGHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR ASSOICATE",
        "authorized_official_telephone_number": "309-663-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "060002911- 038007235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIED",
            "identifier": "5715397",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bischoff, PT
• Alexandria Blackmon-Nelson
• Hannah Bland
• Dawn Blocklinger Campos, RD, LDN
• Eva J Bloda, DDS
• Bloomington Eye Institute LLC
• Bloomington Family Dental, LTD.
• Bloomington Medical Distribution LLC
• Bloomington Medical Laboratory Physicians, S.C.
• Bloomington Normal Audiology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.