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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 IDStateProvider typePAC IDDetails
I20050728000551 IL Practitioner - Chiropractic 6608804125 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
038-008994ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Works LLC Chiropractor Current
since May 12, 2008
Accepting new patients

Locations

723 Market St
Metropolis, IL 62960
Phone (618) 524-8300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00253522OtherILRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 17, 2012.

{
    "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": []
}

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Sources for this page

Verify at the official NPI Registry.