Organization Active NPI

Schwartz Chiropractic Centre PC

  • Chiropractor
  • Champaign, IL
National Provider Identifier
1770642928
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038004290 Issued in IL
Legal business name
SCHWARTZ CHIROPRACTIC CENTRE PC
Practice address
1401 S State St Ste B
Champaign, IL 61820-6877
Phone
(217) 351-2021
Fax
(217) 351-1740
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Dr. Sandra Sue Schwartz, DC
Title
Owner
Phone
(217) 351-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038004290 IL Primary

Addresses

Primary practice location

1401 S State St Ste B
Champaign, IL 61820-6877

Mailing address

1401 S State St Ste B
Champaign, IL 61820-6877
Phone (217) 351-2021

Other identifiers 1

IdentifierTypeStateIssuer
1015000OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1701 Broadmoor Dr
Ste 100
Champaign, IL 61821
Phone (217) 351-2021

Practitioners & affiliated clinicians

Practitioners 2

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1770642928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206877",
            "telephone_number": "217-351-2021",
            "fax_number": "217-351-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S STATE ST STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206877",
            "telephone_number": "217-351-2021",
            "fax_number": "217-351-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWARTZ CHIROPRACTIC CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-351-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038004290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1015000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.