Jodi Beth Buskohl Southern Il Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JODI BETH BUSKOHL SOUTHERN IL CHIROPRACTIC CLINIC

Practice address

2447 State St.
Chester, IL 62233

Phone

(618) 826-5475

NPI assigned

May 4, 2007

Last updated

Mar 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Buskohl, DCNPI 1649261736

Title

Chiropractor

Phone

(618) 826-5475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Jodi Beth Buskohl, D.C.

  • Chiropractor
  • Chester, IL
  • NPI 1649261736
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1982816625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 STATE ST.",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "62233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 STATE ST.",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "62233",
            "telephone_number": "618-826-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODI BETH BUSKOHL SOUTHERN IL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "BUSKOHL",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "618-826-5475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Il Dept. of Human Services
• Il Dept. of Human Services
• Il Dept. of Human Services
• Il Dept. of Human Services
• Illinois Department of Human Services
• Richard David Johnson, PHD
• James Raymond Kirkpatrick, M.D., PH.D.
• James R Krieg, MD
• Christopher Leonard, LCSW
• Allan L Liefer, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.