Central Il Chiropractic, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CENTRAL IL CHIROPRACTIC, LTD

Practice address

1030 Court St
Pekin, IL 61554-4806

Phone

(309) 346-8008

Fax

(309) 346-8009

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Allen Dunker, D.C.NPI 1326390295

Title

President/Chiropractor

Phone

(309) 346-8008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Allen Dunker, D.C.

  • Chiropractor
  • Pekin, IL
  • NPI 1326390295
  Medicare reassignment NPD Authorized official
• Michael Duane Funk, DC

  • Chiropractor
  • Pekin, IL
  • NPI 1659389211
  NPD (past)
• Jody Alaine Palo Lacson, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Honolulu, HI
  • NPI 1992340608
  NPD (past)

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1629478672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544806",
            "telephone_number": "309-346-8008",
            "fax_number": "309-346-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 COURT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544806",
            "telephone_number": "309-346-8008",
            "fax_number": "309-346-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IL CHIROPRACTIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "DUNKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "309-346-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nels Calvert, MD
• Katie J L Capel
• Carol Capper
• Donna Marie Cargill, MS NCC
• Jocele Kelly Cassidy
• Central Illinois Arthritis and Rehabilitation Center PC
• Central Illinois Chiropractic, P.C.
• Champion Fitness, Inc
• Jayne Ann Cheffer
• Keerthi Prasanna Chennuri

• Chiropractor in Pekin, IL
• Providers in Pekin, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.