Advanced Physicians Health Care S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ADVANCED PHYSICIANS HEALTH CARE S.C.

Practice address

350 Cimmeron Dr
East Peoria, IL 61611-7511

Phone

(309) 688-4484

Fax

(309) 688-4485

NPI assigned

Sep 24, 2007

Last updated

Oct 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christina David Durbin, DCNPI 1154486983

Title

President

Phone

(309) 688-4484

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Physicians Health Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christina D Durbin, DC

  • Chiropractor
  • East Peoria, IL
  • NPI 1154486983
  Medicare reassignment Authorized official
• Jason William Back, D.C.

  • Chiropractor
  • Morton, IL
  • NPI 1841261930
  NPD (past)
• Robert Daniel Kelch

  • Chiropractor
  • Peoria, IL
  • NPI 1023240934
  NPD (past)
• Shawn Snider, NP

  • Family Nurse Practitioner
  • Bettendorf, IA
  • NPI 1588620793
  NPD (past)

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1568658409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 CIMMERON DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616117511",
            "telephone_number": "309-688-4484",
            "fax_number": "309-263-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 CIMMERON DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616117511",
            "telephone_number": "309-688-4484",
            "fax_number": "309-688-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICIANS HEALTH CARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-688-4484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTY NIP",
            "identifier": "1154486983",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PHYSICIAN HEALTH CARE S.C.",
            "identifier": "1568658409",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Physicians Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Advanced Physicians Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Accolade Healthcare of East Peoria, LLC
• Accolade Healthcare of East Peoria, LLC
• Fred Acker
• Ada Total Access, Inc.
• Addus Healthcare, Inc. (Addus HomeCare)
• Elaine Lopez Aguilar, PT
• Elmira Akama, LMT
• Jessica K Albert, APRN
• Tao Marie Albritton
• Jennifer Christine Alexander, APN, PMHNP

• Chiropractor in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.