Christopher Erick Clem, D.C.
Individual provider Active NPI Thermography Chiropractor · Auburn, IL
NPI 1871521203 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1871521203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thermography Chiropractor 111NT0100X
- Practice address
- 412 W Jefferson St
Auburn, IL 62615-1425 - Phone
- (217) 438-6324
- Fax
- (217) 438-6532
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
412 W Jefferson St
Auburn, IL 62615-1425
Phone (217) 438-6324
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060214000529 | IL | Practitioner - Chiropractic | 0648203315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009051 | IL | MD | Thermography Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clem Chiropractic Center | Current |
Accepting new patients | |
| Illinois Spine Center SC | Current |
Accepting new patients | |
| GNR Chiropractic LLC | Past |
Accepting new patients |
Locations
412 W Jefferson St
Auburn, IL 62615
Phone (217) 438-6324
2700 W Lawrence Ave
Ste J4
Springfield, IL 62704
Phone (217) 546-6698
900 W Springfield Rd
Taylorville, IL 62568
Phone (217) 824-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thermography Chiropractor | 111NT0100X | IL | Yes |
Addresses
Primary practice location
412 W Jefferson St
Auburn, IL 62615-1425
Mailing address
412 W Jefferson St
Auburn, IL 62615-1425
Phone (217) 438-6324
Other providers in Auburn, IL
- Chelsea R Black
- Scott Borntreger
- Brandy Brown
- Clem Chiropractic Center
- Clem Chiropractic Center
- Melissa Anne Council
- Kimberly Danner
- Delivering Smiles LTD
- Gregory T Downs
- Kathryn A Fry
All providers in Auburn, IL · Thermography Chiropractor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.