Wilderman Chiropractic Center Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

19553 Issued in IL

Legal business name

WILDERMAN CHIROPRACTIC CENTER INC

Practice address

2416 Bloomer Dr
Alton, IL 62002-4809

Phone

(618) 433-8913

Fax

(618) 433-8915

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Chrissy Linenfelser

Title

Office Manager

Phone

(618) 433-8913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Christopher A Wilderman, DC

  • Chiropractor
  • Alton, IL
  • NPI 1548296510
  Medicare reassignment NPD
• D'Andrienne C. Jones, MD

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1760455661
  NPD (past)
• Philip S Dudak, DC, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1720067051

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1780039586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BLOOMER DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024809",
            "telephone_number": "618-433-8913",
            "fax_number": "618-433-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 BLOOMER DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024809",
            "telephone_number": "618-433-8913",
            "fax_number": "618-433-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERMAN CHIROPRACTIC CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "LINENFELSER",
        "authorized_official_first_name": "CHRISSY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-433-8913"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "19553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan White, BSW
• Tina White
• Marissa Whiteside
• Melanie Jo Whitmore
• Tiara La'Shay Wilburn
• Christopher A Wilderman, DC
• Bridget A Wilke, BSN,RN
• Dena L Williams, MSN, APRN, FNP-BC
• Jasmine M Williams, CHWC, CD(DONA)
• Leslie Williams

• Chiropractor in Alton, IL
• Providers in Alton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.