Active NPI
Mance Chiropractic LTD
- Chiropractor
- Morrison, IL
National Provider Identifier
1578673299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MANCE CHIROPRACTIC LTD
- Practice address
- 125 East Main Street
Morrison, IL 61270-2639 - Phone
- (815) 772-7641
- Fax
- (815) 772-7642
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerald Lee Mance, DC
- Title
- President
- Phone
- (815) 772-7641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IL | Primary |
Addresses
Primary practice location
125 East Main Street
Morrison, IL 61270-2639
Mailing address
125 East Main Street
Morrison, IL 61270-2639
Phone (815) 772-7641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720265572 | Other | NPI | |
| 612270 | Medicaid | IL | |
| 9882009 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Sterling, IL
- NPI 1538566658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1578673299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 EAST MAIN STREET",
"city": "MORRISON",
"state": "IL",
"postal_code": "612702639",
"telephone_number": "815-772-7641",
"fax_number": "815-772-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 EAST MAIN STREET",
"city": "MORRISON",
"state": "IL",
"postal_code": "612702639",
"telephone_number": "815-772-7641",
"fax_number": "815-772-7642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCE CHIROPRACTIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "MANCE",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-772-7641",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720265572",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "612270",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9882009",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrison, IL
- Cherish Lamarche
- Crystle Renee Liebhart Meggenberg, DNP
- Angelica Lopez, FNP-C
- Lutheran Social Services of Illinois (Whiteside County Sheriff's Office)
- Christina Lutz, LCPC
- Melissa Renee McNamara, ARNP
- Medical Associates of Clinton, Iowa, P.L.C. (Morrison Family Health Clinic)
- Mercy Specialty Clinic (MercyOne Morrison Family Medicine)
- Sydney Christine Mericle
- Miller Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.