Organization Active NPI

East Peoria Walk-in Chiropractic LLC

  • Chiropractor
  • East Peoria, IL
National Provider Identifier
1922891746
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EAST PEORIA WALK-IN CHIROPRACTIC LLC
Practice address
252 E Washington St Unit 6
East Peoria, IL 61611-2561
Phone
(309) 361-1221
NPI assigned
May 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Robert Buechner, DCNPI 1629538657
Title
Chiropractor
Phone
(309) 361-1221

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

252 E Washington St Unit 6
East Peoria, IL 61611-2561

Mailing address

252 E Washington St Unit 6
East Peoria, IL 61611-2561
Phone (309) 361-1221

Other names 1

  • East Peoria Walk-In Chiropractic LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104003008 IL Part B Supplier - Clinic/Group Practice 9739679283 Receives reassigned benefits from 1 practitioner
Practice locations: East Peoria, IL

National Provider Directory

National Provider Directory

Locations

252 E Washington St
Unit 6
East Peoria, IL 61611
Phone (309) 361-1221

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1922891746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E WASHINGTON ST UNIT 6",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112561",
            "telephone_number": "309-361-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E WASHINGTON ST UNIT 6",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112561",
            "telephone_number": "309-361-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PEORIA WALK-IN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "BUECHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "309-361-1221",
        "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": [
        {
            "organization_name": "East Peoria Walk-In Chiropractic LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.