Stephanie A Cluver, DC
Individual provider Active NPI Chiropractor · Clinton, IL
NPI 1922015668 · NPPES record last updated Aug 29, 2013
Key facts
- NPI
- 1922015668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038009054 (IL)
- Practice address
- 203 E Side SQ
Clinton, IL 61727-1655 - Phone
- (217) 935-6555
- Fax
- (217) 935-4969
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clinton Chiropractic Center, Inc
Practice addresses (Care Compare)
211 S Quincy St
Clinton, IL 61727-1953
Phone (217) 935-6555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040519000499 | IL | Practitioner - Chiropractic | 9335130491 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinton Chiropractic Center Inc | Chiropractor | Current |
Accepting new patients |
Locations
203 E Side Sq
Clinton, IL 61727
Phone (217) 935-6555
211 S Quincy St
Clinton, IL 61727
Phone (217) 935-6555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038009054 | IL | Yes |
Addresses
Primary practice location
203 E Side SQ
Clinton, IL 61727-1655
Mailing address
203 E Side SQ
Clinton, IL 61727-1655
Phone (217) 935-6555
Other providers in Clinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2013. 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.