Miller Chiropractic & Laser Treatment Center, LTD.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

042.618421 Issued in IL

Legal business name

MILLER CHIROPRACTIC & LASER TREATMENT CENTER, LTD.

Practice address

124 S East St
Olney, IL 62450-2839

Phone

(618) 395-7246

Fax

(618) 395-7249

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher John Miller, DCNPI 1619052727

Title

President

Phone

(618) 395-7246

Specialties & licenses 1

Addresses

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.

• Christopher John Miller, D.C.

  • Chiropractor
  • Olney, IL
  • NPI 1619052727
  Medicare reassignment NPD Authorized official
• Derek Alan Leist, D.C.

  • Rehabilitation Chiropractor
  • Brentwood, TN
  • NPI 1073836342
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1801092168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502839",
            "telephone_number": "618-395-7246",
            "fax_number": "618-395-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502839",
            "telephone_number": "618-395-7246",
            "fax_number": "618-395-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER CHIROPRACTIC & LASER TREATMENT CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-395-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "042.618421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Meadows, SLP
• Pamela Ann Meek, OTR/L
• Donna Melluzzo
• Rebecca J Merchiori, APN
• Midwest Care Olney Eg LLC
• Christopher John Miller, D.C.
• Destiny M Miller, BS
• Tanner M Miller, M.D.
• Ryan Matthew Millsap, APRN
• Denna Mitchell, RN

• All providers in Olney, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.