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WALNUT CHIROPRACTIC AND ACUPUNCTURE SC NPI 1194995217


NPI Information

NPI: 1194995217
Provider Name: WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC

Doing Business As: ADVANCED CHIROPRACTIC AND ACUPUNCTURE CENTRE

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
860 BIESTER DR
SUITE 103
BELVIDERE, IL
ZIP 61008
Phone: (815) 544-3894
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WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC is a chiropractor in Belvidere, 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. WALNUT CHIROPRACTIC AND ACUPUNCTURE, SC NPI is 1194995217. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Chiropractic And Acupuncture Centre.

The provider's business location address is:

860 BIESTER DR
SUITE 103
BELVIDERE, IL
ZIP 61008-053
Phone: (815) 544-3894
Fax: (815) 547-3968

The provider's authorized official is Robert Allen Dyer .
The authorized official title is President and has the following contact phone number (815) 544-3894.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 1/13/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor038007076ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U35070MEDICARE UPINILLINOIS
205207617OTHERILLINOISBLUECROSS/BLUESHIELD
3987361MEDICARE PINILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.