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TEEL CHIROPRACTIC CLINIC LTD. NPI 1649583600


NPI Information

NPI: 1649583600
Provider Name: TEEL CHIROPRACTIC CLINIC, LTD.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
509 W MAIN ST
BENTON, IL
ZIP 62812
Phone: (618) 439-7171
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TEEL CHIROPRACTIC CLINIC, LTD. is a medical specialty clinic center in Benton, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TEEL CHIROPRACTIC CLINIC, LTD. NPI is 1649583600. The provider is registered as an organization entity type.

The provider's business location address is:

509 W MAIN ST
BENTON, IL
ZIP 62812-328
Phone: (618) 439-7171
Fax: (618) 439-6151

The provider's authorized official is Julie Suzanne Teel .
The authorized official title is President and has the following contact phone number (618) 439-7171.

The enumeration date for this NPI number is 7/20/2010 and was last updated on 7/20/2010.


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
1261QM2500XClinic/CenterMedical Specialty038009609ILLINOISYes

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
1206899MEDICARE PINILLINOIS
22832008OTHERILLINOISBLUE CROSS BLUE SHIELD
3626640OTHERHEALTH LINK
4226906OTHERGHP
5U96694MEDICARE UPINILLINOIS
6730179OTHERCIGNA

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

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