Quiram Spinal & Sports Rehabilitation LTD

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

042-617717 Issued in IL

Legal business name

QUIRAM SPINAL & SPORTS REHABILITATION LTD

Practice address

21108 N 25 East Road
Danvers, IL 61732-4497

Phone

(309) 662-6462

Fax

(309) 965-2384

NPI assigned

Oct 27, 2006

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leslie R Quiram, D.C.NPI 1467428409

Title

Owner/Operator

Phone

(309) 662-6462

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie R Quiram, DC

  • Chiropractor
  • Bloomington, IL
  • NPI 1467428409
  Medicare reassignment Care Compare group Authorized official
• Ross Vollmer, DC

  • Chiropractor
  • Hillsboro, MO
  • NPI 1891318846

  IL

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1780760413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21108 N 25 EAST ROAD",
            "city": "DANVERS",
            "state": "IL",
            "postal_code": "617324497",
            "telephone_number": "309-662-6462",
            "fax_number": "309-965-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21108 N 25 EAST ROAD",
            "city": "DANVERS",
            "state": "IL",
            "postal_code": "617324497",
            "telephone_number": "309-662-6462",
            "fax_number": "309-965-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIRAM SPINAL & SPORTS REHABILITATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "QUIRAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "309-662-6462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "042-617717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5732002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nanette Marie Birky
• Danvers Community Fire Protection District
• Danvers Emergency & Rescue Service
• Garrett Kelson, ATC
• Janel Metzger, MT -BC
• Savannah Camela Ross
• Jennifer Darlene Slater
• Jane Lyn Slifer

• Rehabilitation Chiropractor in Danvers, IL
• Providers in Danvers, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.