Organization Active NPI

Pals Family Chiropractic

  • Chiropractor
  • Effingham, IL
National Provider Identifier
1881870749
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PALS FAMILY CHIROPRACTIC
Practice address
801 W Jefferson Ave
Effingham, IL 62401-2032
Phone
(217) 342-3560
NPI assigned
Jan 10, 2008
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Lynne Donaldson
Title
Office Manager
Phone
(217) 342-3560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

801 W Jefferson Ave
Effingham, IL 62401-2032

Mailing address

801 W Jefferson Ave
Effingham, IL 62401-2032

Other identifiers 1

IdentifierTypeStateIssuer
0002532013OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

801 W Jefferson Ave
Effingham, IL 62401
Phone (217) 342-3560

Practitioners & affiliated clinicians

Practitioners 2

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1881870749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W JEFFERSON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W JEFFERSON AVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012032",
            "telephone_number": "217-342-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-342-3560"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002532013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.