Active NPI
Cheely Chiropractic Clinic LTD
- Chiropractor
- East Alton, IL
National Provider Identifier
1801929716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 042 007970
- Legal business name
- CHEELY CHIROPRACTIC CLINIC LTD
- Practice address
- 131 N Bellwood Dr
Suite D
East Alton, IL 62024-2088 - Phone
- (618) 259-3333
- Fax
- (618) 259-3334
- NPI assigned
- Mar 13, 2007
- 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. Kevin L Cheely, DC
- Title
- Owner
- Phone
- (618) 259-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 042 007970 | IL | Primary |
Addresses
Primary practice location
131 N Bellwood Dr
Suite D
East Alton, IL 62024-2088
Mailing address
131 N Bellwood Dr
Suite D
East Alton, IL 62024-2088
Phone (618) 259-3333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6082035 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1346314333 | Other | IL | INDIVIDUAL NPI |
| 350053197 | Other | IL | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
131 N Bellwood Dr
Ste D
East Alton, IL 62024
Phone (618) 259-3333
131 N Bellwood Dr
Ste B
East Alton, IL 62024
Phone (618) 259-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bunker Hill, IL
- NPI 1306420856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224028800000",
"number": "1801929716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N BELLWOOD DR",
"address_2": "SUITE D",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242088",
"telephone_number": "618-259-3333",
"fax_number": "618-259-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 N BELLWOOD DR",
"address_2": "SUITE D",
"city": "EAST ALTON",
"state": "IL",
"postal_code": "620242088",
"telephone_number": "618-259-3333",
"fax_number": "618-259-3334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEELY CHIROPRACTIC CLINIC LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2008-10-15",
"status": "A",
"authorized_official_last_name": "CHEELY",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-259-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IL",
"license": "042 007970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6082035",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1346314333",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "350053197",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.