Active NPI
Chad E Storck, D.C.
- Chiropractor
- Vandalia, IL
National Provider Identifier
1730326711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011327
- Practice address
- 370 West Orchard Street
Vandalia, IL 62471-2821 - Phone
- (618) 444-4010
- NPI assigned
- Jan 13, 2009
- Last updated
- Nov 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2009000344 | MO | |
| Chiropractor | 111N00000X | 038.011327 | IL | Primary |
Addresses
Primary practice location
370 West Orchard Street
Vandalia, IL 62471-2821
Mailing address
951 N 2550 St
Farina, IL 62838-2012
Phone (618) 444-4010
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011327 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1730326711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 N 2550 ST",
"city": "FARINA",
"state": "IL",
"postal_code": "628382012",
"telephone_number": "618-444-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 WEST ORCHARD STREET",
"city": "VANDALIA",
"state": "IL",
"postal_code": "624712821",
"telephone_number": "618-444-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORCK",
"first_name": "CHAD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-13",
"last_updated": "2023-11-01",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2009000344",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandalia, IL
- Southern Illinois Healthcare Foundation, Inc. (SIHF Healthcare)
- Southern Illinois Healthcare Foundation, Inc. (Vandalia Health Center)
- Lucinda M Spencer, APRN, FNP-C
- St. Mary's Hospital
- Stay Home Caregivers, LLC
- Stride Nutrition and Lifestyle Services LLC
- Ten Broeck Tennessee Physicians Group Inc (Center for Senior Renewal)
- Tepperberg Chiropractic Center
- The Brightside of Behavior
- The Elephant's Attic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.