Active NPI
Eve Marie Greenwell, DC
- Chiropractor
- Mt Zion, IL
National Provider Identifier
1639785330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.013592
- Practice address
- 143 N Henderson St
Mt Zion, IL 62549-1313 - Phone
- (217) 412-7159
- NPI assigned
- Sep 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013592 | IL | Primary |
Addresses
Primary practice location
143 N Henderson St
Mt Zion, IL 62549-1313
Mailing address
143 N Henderson St
Mt Zion, IL 62549-1313
Phone (217) 412-7159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013592 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenwell Family Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
143 N Henderson St
Mt Zion, IL 62549
Phone (217) 412-7159
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.
-
- Chiropractor
- Mt Zion, IL
- NPI 1104425156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1639785330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 N HENDERSON ST",
"city": "MT ZION",
"state": "IL",
"postal_code": "625491313",
"telephone_number": "217-412-7159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 N HENDERSON ST",
"city": "MT ZION",
"state": "IL",
"postal_code": "625491313",
"telephone_number": "217-412-7159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWELL",
"first_name": "EVE",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-17",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Zion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.