Organization Active NPI

Penwell Chiropractic North PC

  • Chiropractor
  • Decatur, IL
National Provider Identifier
1821297011
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PENWELL CHIROPRACTIC NORTH PC
Practice address
2535 N Main St
Decatur, IL 62526-3227
Phone
(217) 875-4000
Fax
(217) 875-4006
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Nancy L Penwell, DCNPI 1952375222
Title
Owner
Phone
(217) 875-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2535 N Main St
Decatur, IL 62526-3227

Mailing address

2535 N Main St
Decatur, IL 62526-3227
Phone (217) 875-4000

National Provider Directory

National Provider Directory

Locations

2 N Country Club Rd
Ste 3
Decatur, IL 62521
Phone (217) 423-1500

2535 N Main St
Decatur, IL 62526
Phone (217) 875-4000

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1821297011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263227",
            "telephone_number": "217-875-4000",
            "fax_number": "217-875-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263227",
            "telephone_number": "217-875-4000",
            "fax_number": "217-875-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENWELL CHIROPRACTIC NORTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "PENWELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-875-4000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.