Organization Active NPI

Creamean Chiropractic Clinic

  • Primary Care Clinic/Center
  • Pontiac, IL
National Provider Identifier
1760664353
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
038-009217 Issued in IL
Legal business name
CREAMEAN CHIROPRACTIC CLINIC
Practice address
820 W Howard St
Pontiac, IL 61764-1603
Phone
(815) 844-3803
Fax
(815) 844-3803
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. Terry Lee Creamean, D.C.NPI 1649378555
Title
Chiropractic Physcian
Phone
(815) 844-3803

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
Primary Care Clinic/Center 261QP2300X 038-009217 IL Primary

Addresses

Primary practice location

820 W Howard St
Pontiac, IL 61764-1603

Mailing address

820 W Howard St
Pontiac, IL 61764-1603
Phone (815) 844-3803

Other identifiers 1

IdentifierTypeStateIssuer
038009217MedicaidIL

National Provider Directory

National Provider Directory

Locations

820 W Howard St
Pontiac, IL 61764
Phone (815) 844-3803

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1760664353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W HOWARD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641603",
            "telephone_number": "815-844-3803",
            "fax_number": "815-844-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W HOWARD ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641603",
            "telephone_number": "815-844-3803",
            "fax_number": "815-844-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREAMEAN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "CREAMEAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSCIAN",
        "authorized_official_telephone_number": "815-844-3803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "038-009217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038009217",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.