Active NPI
Schwartz Chiropractic Centre PC
- Chiropractor
- Champaign, IL
National Provider Identifier
1770642928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038004290
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015000 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Urbana, IL
- NPI 1033184247
-
- Physician Assistant
- Champaign, IL
- NPI 1316592637
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.