Teel Chiropractic Clinic, LTD.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038009609 Issued in IL

Legal business name

TEEL CHIROPRACTIC CLINIC, LTD.

Practice address

509 W Main St
Benton, IL 62812-1328

Phone

(618) 439-7171

Fax

(618) 439-6151

NPI assigned

Jul 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Julie Suzanne Teel, D.C.NPI 1265533418

Title

President

Phone

(618) 439-7171

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Julie Suzanne Teel, DC

  • Chiropractor
  • Benton, IL
  • NPI 1265533418
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279584000000",
    "number": "1649583600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121328",
            "telephone_number": "618-439-7171",
            "fax_number": "618-439-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121328",
            "telephone_number": "618-439-7171",
            "fax_number": "618-439-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEEL CHIROPRACTIC CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A",
        "authorized_official_last_name": "TEEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-439-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038009609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2832008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "226906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "730179",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "626640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stonebridge Senior Living Center, LLC
• Mariah Stubblefield, MSOTR/L
• David Frank Szoke, M.D.
• Olufeyisayo Jokotola Taiwo, M.D.
• Landon Tate
• Julie Suzanne Teel, DC
• Tracey Thompson
• Tracy L Thompson, PA-C
• Maureen Tinsley, O.T.
• Ashley Torres

• Medical Specialty Clinic/Center in Benton, IL
• Providers in Benton, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.