MS. SUSAN MARIE MINDER D.C. NPI 1124236989

NPI Information

NPI: 1124236989
Provider Name: MS. SUSAN MARIE MINDER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2025 W ILES AVE
SUITE B
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 241-5300
Get Directions

MS. Susan Marie Minder, D.C. is a chiropractor in Springfield, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. MS. Susan Marie Minder, D.C. NPI is 1124236989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2025 W ILES AVE
SUITE B
SPRINGFIELD, IL
ZIP 62704-190
Phone: (217) 241-5300
Fax: (217) 241-5322

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.

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	111N00000X	Chiropractor			ILLINOIS	Yes
2	111NR0400X	Chiropractor	Rehabilitation		ILLINOIS	X

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 Issuer
1	U67334	MEDICARE UPIN
2	84-20187	OTHER	BLUE CROSS & BLUE SHIELD
3	339643	OTHER	HEALTH LINK
4	310750	MEDICARE ID-TYPE UNSPECIFIED

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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