Individual provider Active NPI

Christopher Erick Clem, D.C.

  • Thermography Chiropractor
  • Auburn, IL
National Provider Identifier
1871521203
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thermography ChiropractorTaxonomy code 111NT0100X
Practice address
412 W Jefferson St
Auburn, IL 62615-1425
Phone
(217) 438-6324
Fax
(217) 438-6532
NPI assigned
Jun 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thermography Chiropractor 111NT0100X IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000529 IL Practitioner - Chiropractic 0648203315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-009051ILMDThermography Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Spine Center SC CurrentSince Oct 17, 2005 Accepting new patients
Clem Chiropractic Center CurrentSince Jul 1, 2005 Accepting new patients
GNR Chiropractic LLC PastSince Mar 1, 2018 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871521203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W JEFFERSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151425",
            "telephone_number": "217-438-6324",
            "fax_number": "217-438-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W JEFFERSON ST",
            "city": "AUBURN",
            "state": "IL",
            "postal_code": "626151425",
            "telephone_number": "217-438-6324",
            "fax_number": "217-438-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEM",
        "first_name": "CHRISTOPHER",
        "middle_name": "ERICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NT0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Thermography",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.