MARK WIEGAND DC SC (NPI# 1295822625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295822625 |
| Entity Type | Organization |
| Organization Name | MARK WIEGAND DC SC |
| Other Organization Name | FAMILY CHIROPRACTIC & WELLNESS CENTER |
| Practice Address |
926 Broadway St Suite 4 Quincy IL 62301-2748 |
| Practice Telephone | 2172225100 |
| Practice Fax Number | 2172225178 |
| Mailing Telephone | 2172225100 |
| Mailing Fax Number | 2172225178 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | DR. MARK J WIEGAND (PRESIDENT-OWNER) |
| Authorized Official Telephone | 2172225100 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009581 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Family Chiropractic & Wellness Center | Doing Business As Name - Organization |
| Street Address |
926 BROADWAY ST SUITE 4 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172636 | Mark J Wiegand | Chiropractor | 926 Broadway St, Suite 4, Quincy, IL 62301-2748 | 2005-08-25 |
| 1396046090 | Mervi H Leyendeckers, O.d., P.C. | Optometrist | 926 Broadway St, Quincy, IL 62301-2730 | 2010-11-11 |
| 1629256730 | Broadway Vision Center | Durable Medical Equipment & Medical Supplies | 926 Broadway St, Quincy, IL 62301-2730 | 2008-01-31 |
| 1083711642 | Mervi Hannele Leyendeckers | Optometrist | 926 Broadway St, Quincy, IL 62301-2748 | 2006-09-17 |
| 1093766081 | Allan Artificial Limbs | Prosthetic/Orthotic Supplier | 926 Broadway St, Suite 3, Quincy, IL 62301-2730 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| 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 |
|---|---|---|---|---|
| 1154789956 | Daryle Ann Hightower | Chiropractor | 332 S 36th St Ste 3, Quincy, IL 62301-5808 | 2016-02-08 |
| 1558728683 | Trevor Grayling Akers I | Chiropractor | 837 N 36th St, Quincy, IL 62301-4626 | 2016-01-20 |
| 1932573805 | Created for Motion Wellness Center LLC | Chiropractor | 105 N 36th St Ste 101, Quincy, IL 62301-3704 | 2015-11-16 |
| 1417360116 | Chiro Wellness Professionals LLC | Chiropractor | 1200 Hancock St, Ste 306, Quincy, MA 02169-4318 | 2014-06-10 |
| 1023371200 | Cassidy Elaine Kaiser | Chiropractor | 319 S Ray Quincy Rd, Quincy, MI 49082-9788 | 2012-06-21 |
| 1518240449 | Tamara Lynn Burkhead | Chiropractor | 1102 West Jefferson St., Quincy, FL 32351-2212 | 2011-09-27 |
| 1255633061 | Becky Grimm Dc Sc | Chiropractor | 521 S 24th St, Quincy, IL 62301-5730 | 2010-11-30 |
| 1912232547 | Leslie Rogers Trimble | Chiropractor | 1704 N 24th St, Ste 1, Quincy, IL 62301-3304 | 2009-10-15 |
| 1447497391 | Mary Chau | Chiropractor | 423a Hancock St, Quincy, MA 02171-2408 | 2009-01-14 |
| 1740407543 | Suzanne Denise Feldmann | Chiropractor | 1210 N 24th St, Quincy, IL 62301-2233 | 2007-04-20 |
| Find all providers in QUINCY | ||||
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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.