ELITE CHIROPRACTIC CENTER LLC NPI 1184136020

NPI Information

NPI: 1184136020
Provider Name: ELITE CHIROPRACTIC CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11 GINGER CREEK VLG
GLEN CARBON, IL
ZIP 62034
Phone: (618) 307-9540
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ELITE CHIROPRACTIC CENTER LLC is a chiropractor in Glen Carbon, 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. ELITE CHIROPRACTIC CENTER LLC NPI is 1184136020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 GINGER CREEK VLG
GLEN CARBON, IL
ZIP 62034-517
Phone: (618) 307-9540

The provider's authorized official is Christina Tassianri Claywell .
The authorized official title is Doctor and has the following contact phone number (618) 307-9540.

The enumeration date for this NPI number is 11/1/2017 and was last updated on 2/1/2019.

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		038012946	ILLINOIS	Yes

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: 5/5/2024

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