KRISTOPHER M MCCLUSKY (NPI# 1083734537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083734537 |
| Entity Type | Individual |
| Full Name | KRISTOPHER M MCCLUSKY |
| Credential | D.C. |
| Practice Address |
410 Regency Ctr Collinsville IL 62234-4659 |
| Practice Telephone | 6183433602 |
| Mailing Telephone | 6183433602 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038010177 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 06032272 | 01 |
| Street Address |
410 REGENCY CTR |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386155349 | Finding Balance Clinical Services Inc. | Counselor | 410 Regency Ctr, Collinsville, IL 62234-4659 | 2017-10-18 |
| 1376875609 | Chiroworks Inc | Clinic/Center | 410 Regency Ctr, Collinsville, IL 62234-4659 | 2010-02-11 |
| 1215100227 | Chiropracticworksllc | Chiropractor | 410 Regency Ctr, Collinsville, IL 62234-4659 | 2008-04-10 |
| 1760503619 | Wellnessone of Collinsville | Chiropractor | 410 Regency Ctr, Collinsville, IL 62234-4659 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1083861967 | Christian K. Ericksen | Chiropractor | 124 N 10th St, Collinsville, OK 74021-2318 | 2008-08-22 |
| 1487832952 | Chad Brian Weber | Chiropractor | 1600 Vandalia St, Collinsville, IL 62234-4459 | 2008-02-06 |
| 1881889574 | Skdc Inc. | Chiropractor | 2896 Virginia Ave, Collinsville, VA 24078-2278 | 2007-09-06 |
| 1154483360 | William Nathaniel Byrkit Jr. | Chiropractor | 1280 Vandalia Street, Collinsville, IL 62234 | 2006-12-14 |
| 1235204686 | Dr William N Byrkit Jr PC | Chiropractor | 1280 Vandalia St, Collinsville, IL 62234-4024 | 2006-11-21 |
| 1780780635 | Anthony Webster Fourdyce | Chiropractor | 1600 Vandalia Se, Collinsville, IL 62234-4459 | 2006-09-16 |
| 1861414062 | Stephen P Kieselbach | Chiropractor | 3408-1 Virginia Ave., Collinsville, VA 24078 | 2006-07-24 |
| 1932144490 | Kyle Sumio Hack | Chiropractor | 414a Belt Line Rd, Collinsville, IL 62234-4405 | 2006-06-18 |
| 1932156486 | Neil Andrew Munhofen | Chiropractor | 414a Beltline Rd, Collinsville, IL 62234-4405 | 2006-05-30 |
| Find all providers in COLLINSVILLE | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
Please comment or provide details below to improve the information on KRISTOPHER M MCCLUSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.