DR. MARK E. WERTZ (NPI# 1164758314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164758314 |
| Entity Type | Individual |
| Full Name | DR. MARK E. WERTZ |
| Credential | D.C. |
| Practice Address |
3105 Village Office Pl Champaign IL 61822-7673 |
| Practice Telephone | 2173529108 |
| Practice Fax Number | 2173529105 |
| Mailing Telephone | 2173529108 |
| Mailing Fax Number | 2173529105 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2014-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038011510 | IL | Chiropractic Providers |
| Street Address |
3105 VILLAGE OFFICE PL |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-7673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154482958 | Emily Mccabe | Chiropractor | 3105 Village Office Pl, Champaign, IL 61822-7673 | 2006-12-13 |
| 1700250743 | Mccabe Chiropractic P.C. | Chiropractor | 3105 Village Office Pl, Champaign, IL 61822-7673 | 2015-11-13 |
| 1942566815 | Wertz Chiropractic Ltd | Chiropractor | 3105 Village Office Pl, Champaign, IL 61822-7673 | 2012-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1366063984 | Ezequiel Maldonado-vazquez | Chiropractor | 517 W Town Center Blvd Ste 507, Champaign, IL 61822-1248 | 2020-05-05 |
| 1407419807 | Champaign Chiropractic LLC | Chiropractor | 1103 W Windsor Rd, Champaign, IL 61821-6999 | 2019-04-21 |
| 1891232153 | Young Chiropractic & Acupuncture, Ltd. | Chiropractor | 2911 Crossing Court, Suite 101, Champaign, IL 61822-6108 | 2017-01-25 |
| 1528511540 | J Casey Pride | Chiropractor | 1003 Barclay Ct, Champaign, IL 61821-7019 | 2016-07-26 |
| 1487008272 | Cameron Robert Mackichan | Chiropractor | 2003 Round Barn Rd Ste B, Champaign, IL 61821-6828 | 2016-04-18 |
| 1114260452 | Kassie Jean Young | Chiropractor | 2911 Crossing Ct Suite 101, Champaign, IL 61822-6108 | 2013-04-05 |
| 1750667770 | Peter J. O'brien | Chiropractor | 4910 Windsor Rd, Champaign, IL 61822-9723 | 2011-10-24 |
| 1689977456 | Baxter Chiropractic, Ltd | Chiropractor | 2917 Crossing Ct Ste B1, Champaign, IL 61822-6185 | 2010-12-16 |
| 1588997027 | Melby Chiropractic PC | Chiropractor | 801 W Springfield Ave, Champaign, IL 61820-4881 | 2009-09-16 |
| 1336324961 | Edward Chun, P.C. | Chiropractor | 1207 S Mattis Ave Ste 2, Champaign, IL 61821-4862 | 2008-01-02 |
| Find all providers in CHAMPAIGN | ||||
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| 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.