Eric Elliott Effertz, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013374 Issued in IL

Practice address

289 Sinsinawa Ave
East Dubuque, IL 61025-1220

Phone

(815) 747-6548

NPI assigned

Nov 6, 2018

Last updated

Nov 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Effertz Chiropractic and Wellness Center, Inc.

  • Chiropractor
  • East Dubuque, IL
  • NPI 1043854854
  Medicare reassignment NPD Authorized official
• David J. Weber Chiropractic Office, Inc., P.C.

  • Health Service Clinic/Center
  • East Dubuque, IL
  • NPI 1538387527
  NPD (past)

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1649748732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 SINSINAWA AVE",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251220",
            "telephone_number": "815-747-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 SINSINAWA AVE",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251220",
            "telephone_number": "815-747-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFERTZ",
        "first_name": "ERIC",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "094015",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Coder, ED. S.
• David J. Weber Chiropractic Office, Inc., P.C.
• East Dubuque Counseling LTD.
• East Dubuque Unit 119
• Effertz Chiropractic and Wellness Center, Inc.
• Tara K Einsweiler-Mickelson
• Jennifer Hayes
• Rae Lynn Jackson, M.A.,CCC-SLP
• Dieunn Musser, LCPC
• James R Neumeister, DDS

• Chiropractor in East Dubuque, IL
• Providers in East Dubuque, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.