Clinton Chiropractic Center Inc
Organization Active NPI Chiropractor · Clinton, IL
NPI 1609213487 · NPPES record last updated Aug 29, 2013
Key facts
- NPI
- 1609213487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CLINTON CHIROPRACTIC CENTER INC
- Practice address
- 203 E Side SQ
Clinton, IL 61727-1655 - Phone
- (217) 935-6555
- Fax
- (217) 935-4969
- NPI assigned
- Jun 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephanie A Cluver, DC
- Title
- Owner/ Provider
- Phone
- (217) 935-6555
Practitioners 4
-
Sara D. Murphy, APRN
-
Kayur Vithalbhai Patel, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130814000270 | IL | Part B Supplier - Clinic/Group Practice | 3274775622 |
Receives reassigned benefits from 2 practitioners Practice locations: Clinton, IL |
National Provider Directory
Locations
211 S Quincy St
Clinton, IL 61727
Phone (217) 935-6555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
203 E Side SQ
Clinton, IL 61727-1655
Mailing address
203 E Side SQ
Clinton, IL 61727-1655
Phone (217) 935-6555
Other providers in Clinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2013. 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.