Wertz Chiropractic LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011510 Issued in IL

Legal business name

WERTZ CHIROPRACTIC LTD

Practice address

3105 Village Office PL
Champaign, IL 61822-7673

Phone

(217) 352-2265

Fax

(217) 352-9105

NPI assigned

Apr 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mark Wertz, D.C.NPI 1164758314

Title

Chiropractor/Owner

Phone

(217) 352-2265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Mark E. Wertz, D.C.

  • Chiropractor
  • Champaign, IL
  • NPI 1164758314
  Medicare reassignment NPD Authorized official
• Blake Lehmann

  • Chiropractor
  • Champaign, IL
  • NPI 1841157989
  Medicare reassignment

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1942566815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227673",
            "telephone_number": "217-352-2265",
            "fax_number": "217-352-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 VILLAGE OFFICE PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227673",
            "telephone_number": "217-352-2265",
            "fax_number": "217-352-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WERTZ CHIROPRACTIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "WERTZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "217-352-2265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn A Welter, MSW
• Pamela Sue Wendt, LCPC
• Jan Elaine Wenke, MSN, MA, PRN, LATC
• Brian Charles Wennberg, B.A.
• Judith Werckle
• Mark E. Wertz, D.C.
• Melody Wesley
• Mateusz Wesolowski, PT,DPT
• Casey West, PT, DPT, ATC, LAT
• Jenee Westjohn

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.