Active NPI
Cesar Vladimir Cuellar
- Chiropractor
- Effingham, IL
National Provider Identifier
1962286963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038014036
- Practice address
- 414 W Jefferson Ave
Effingham, IL 62401-2336 - Phone
- (217) 342-7222
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038014036 | IL | Primary |
Addresses
Primary practice location
414 W Jefferson Ave
Effingham, IL 62401-2336
Mailing address
27638 SD Highway 11
Canton, SD 57013-5527
Phone (605) 759-4948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038014036 | IL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1962286963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27638 SD HIGHWAY 11",
"city": "CANTON",
"state": "SD",
"postal_code": "570135527",
"telephone_number": "605-759-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 W JEFFERSON AVE",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012336",
"telephone_number": "217-342-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUELLAR",
"first_name": "CESAR",
"middle_name": "VLADIMIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038014036",
"primary": true
}
],
"identifiers": [],
"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 Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.