Leila Christina Lindquist, D.C.
Individual provider Active NPI Chiropractor · Metropolis, IL
NPI 1609908706 · NPPES record last updated Jan 17, 2012
Key facts
- NPI
- 1609908706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-008994 (IL)
- Practice address
- 723 Market St
Metropolis, IL 62960-1633 - Phone
- (618) 524-8300
- Fax
- (618) 524-8607
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
723 Market St
Metropolis, IL 62960-1633
Phone (618) 524-8300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050728000551 | IL | Practitioner - Chiropractic | 6608804125 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-008994 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Works LLC | Chiropractor | Current |
Accepting new patients |
Locations
723 Market St
Metropolis, IL 62960
Phone (618) 524-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-008994 | IL | Yes |
Addresses
Primary practice location
723 Market St
Metropolis, IL 62960-1633
Mailing address
723 Market St
Metropolis, IL 62960-1633
Phone (618) 524-8300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00253522 | Other | IL | RAILROAD MEDICARE |
NPI Registry JSON
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1609908706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 MARKET ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601633",
"telephone_number": "618-524-8300",
"fax_number": "618-524-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 MARKET ST",
"city": "METROPOLIS",
"state": "IL",
"postal_code": "629601633",
"telephone_number": "618-524-8300",
"fax_number": "618-524-8607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "LEILA",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-008994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00253522",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metropolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2012. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.