ACUPUNCTURE & CHIROPRACTIC CENTER NPI 1336417724

NPI Information

NPI: 1336417724
Provider Name: ACUPUNCTURE & CHIROPRACTIC CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
716 S 2ND ST
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 544-8118
Get Directions

ACUPUNCTURE & CHIROPRACTIC CENTER is a multi-specialty clinic center in Springfield, IL. ACUPUNCTURE & CHIROPRACTIC CENTER NPI is 1336417724. The provider is registered as an organization entity type.

The provider's business location address is:

716 S 2ND ST
SPRINGFIELD, IL
ZIP 62704-516
Phone: (217) 544-8118

The provider's authorized official is Louis T Distasio .
The authorized official title is Owner and has the following contact phone number (217) 544-8118.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	198000025	ILLINOIS	No
2	261QM1300X	Clinic/Center	Multi-Specialty	038003935	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8482034	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	642420	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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