NPIMap

Organization Active NPI

Elite Chiropractic Services, LLC

  • Chiropractor
  • Eureka, IL
National Provider Identifier
1750628285
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010649 Issued in IL
Legal business name
ELITE CHIROPRACTIC SERVICES, LLC
Practice address
105 W Mill St
Eureka, IL 61530-1138
Phone
(309) 304-1016
Fax
(309) 467-3588
NPI assigned
Jan 3, 2013
Last updated
Jan 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Authorized official

Name
Dr. Chevi Guthrie, D.C.NPI 1013157148
Title
Owner/Doctor
Phone
(309) 304-1016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038010649 IL Primary

Addresses

Primary practice location

105 W Mill St
Eureka, IL 61530-1138

Mailing address

105 W Mill St
Eureka, IL 61530-1138
Phone (309) 304-1016

National Provider Directory

National Provider Directory

Locations

105 W Mill St
Eureka, IL 61530
Phone (309) 304-1016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1750628285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MILL ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301138",
            "telephone_number": "309-304-1016",
            "fax_number": "309-467-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MILL ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301138",
            "telephone_number": "309-304-1016",
            "fax_number": "309-467-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-03",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "CHEVI",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "309-304-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.