Organization Active NPI

Limitless Medical

  • General Practice Physician
  • Quincy, IL
National Provider Identifier
1760183560
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIMITLESS MEDICAL
Practice address
4440 Broadway St Ste 12
Quincy, IL 62305-9147
Phone
(217) 242-0420
NPI assigned
Mar 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Justin Felsman, DCNPI 1790066017
Title
Authorized Official
Phone
(217) 242-0420

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4440 Broadway St Ste 12
Quincy, IL 62305-9147

Mailing address

4440 Broadway St Ste 12
Quincy, IL 62305-9147
Phone (217) 242-0420

National Provider Directory

National Provider Directory

Locations

4440 Broadway St
Ste 12
Quincy, IL 62305
Phone (217) 242-0420

4440 Broadway St
#12
Quincy, IL 62305
Phone (217) 214-4440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1760183560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY ST STE 12",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623059147",
            "telephone_number": "217-242-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROADWAY ST STE 12",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623059147",
            "telephone_number": "217-242-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMITLESS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "FELSMAN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "217-242-0420",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.