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ACCESS HEALTHCARE OF WATERLOO LTD NPI 1588846190


NPI Information

NPI: 1588846190
Provider Name: ACCESS HEALTHCARE OF WATERLOO, LTD
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
742 N MARKET ST
SUITE D
WATERLOO, IL
ZIP 62298
Phone: (618) 939-9850
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ACCESS HEALTHCARE OF WATERLOO, LTD is a chiropractor in Waterloo, 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. ACCESS HEALTHCARE OF WATERLOO, LTD NPI is 1588846190. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

742 N MARKET ST
SUITE D
WATERLOO, IL
ZIP 62298-079
Phone: (618) 939-9850
Fax: (618) 939-9860

The provider's authorized official is Rodney A Small .
The authorized official title is President and has the following contact phone number (618) 327-3224.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 12/5/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor38010265ILLINOISYes

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
1K24458MEDICARE PINILLINOIS
2V08123MEDICARE UPINILLINOIS
308232178OTHERILLINOISBCBS

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

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.