DR. JULIE SUZANNE TEEL (NPI# 1265533418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265533418 |
| Entity Type | Individual |
| Full Name | DR. JULIE SUZANNE TEEL |
| Credential | DC |
| Practice Address |
509 W Main Street Benton IL 62812-1328 |
| Practice Telephone | 6184397171 |
| Practice Fax Number | 6184396151 |
| Mailing Telephone | 6184397171 |
| Mailing Fax Number | 6184396151 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2010-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009609 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 2832008 | 01 |
| HEALTHLINK | 626640 | 01 | |
| GHP | 226906 | 01 | |
| IL | 038009609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790994044 | Julie Gale Teel | Radiologic Technologist | 100 Indian Hills Dr, Macy, NE 68039 | 2007-05-22 |
| 1548208879 | Julie L Teel | Nurse Practitioner | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2006-06-02 |
| Street Address |
509 W MAIN STREET |
| City | BENTON |
| State | IL |
| Zip Code | 62812-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| 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 |
|---|---|---|---|---|
| 1942849179 | Tanner Evans | Chiropractor | 110b E 5th St, Benton, KY 42025-1118 | 2020-01-06 |
| 1609301845 | John Dylan Machycek | Chiropractor | 3309 Winchester, Benton, AR 72015-2896 | 2017-04-25 |
| 1437458304 | Jason Scott Ozbourn | Chiropractor | 715 Sheridan Dr, Benton, IL 62812-1047 | 2011-03-17 |
| 1336467315 | Allyson Lynne Kathalynas | Chiropractor | 206 E Church St Ste A, Benton, IL 62812-2239 | 2010-05-14 |
| 1780900555 | Steffanie Kohn | Chiropractor | 188 E Main St, Benton, WI 53803 | 2010-04-19 |
| 1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
| 1043489578 | Prange Chiropractic Center | Chiropractor | 3098 Us Highway 641 N, Benton, KY 42025-7464 | 2008-02-28 |
| 1215127618 | Tony Joe Barger | Chiropractor | 1900 Military Rd, Suite 1, Benton, AR 72015-2805 | 2007-07-31 |
| 1902005861 | Michael B Travis | Chiropractor | 374 W 5th St, Benton, KY 42025-1102 | 2007-07-12 |
| 1487871000 | Darrellyn Williams | Chiropractor | 707 Sunset, Benton, AR 72015-3538 | 2007-04-18 |
| Find all providers in BENTON | ||||
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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.