ACUPUNCTURE & CHIROPRACTIC CENTER


Address: 716 S 2nd St, Springfield, IL 62704-2516
Phone: 2175448118

ACUPUNCTURE & CHIROPRACTIC CENTER (NPI# 1336417724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336417724
Entity Type Organization
Organization Name ACUPUNCTURE & CHIROPRACTIC CENTER
Practice Address 716 S 2nd St
Springfield
IL 62704-2516
Practice Telephone 2175448118
Enumeration Date 2011-12-13
Last Update Date 2011-12-13
Authorized Official Name DR. LOUIS T DISTASIO (OWNER)
Authorized Official Telephone 2175448118
Authorized Official Credential D.C. L.AC.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
198000025 IL Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
038003935 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 8482034 01

Office Location

Street Address 716 S 2ND ST
City SPRINGFIELD
State IL
Zip Code 62704-2516

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508310533 Terry Frank Acupuncturist 716 S 2nd St, Springfield, IL 62704-2516 2016-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902394901 Hillary Haaker Occupational Therapist 2035 W Iles, Suite C, Springfield, ID 62704 2018-04-25
1871095364 Edward Doyle Slifer Sr. Pathology 2117 Greenside Drive, Spring Field, IL 62704 2018-03-01
1598263345 Santarelli & Feller Dental Group Dentist 1140 Rickard Road, Suite B, Springfield, IL 62704 2018-01-26
1447774757 Lisa Ann Rogers Developmental Therapist 2101 Lexington Dr, Apt 3, Springfield, IL 62704 2017-07-28
1730611286 Mindi Rowe Occupational Therapist 2508 County Rd 4 1/2 E, Springfield, IL 62704 2017-04-03
1366992208 Jayme Jordan Contractor 2409 Westchester Blvd, Springfield, IL 62704 2016-10-04
1154793974 Dina Payne Social Worker 917 Clocktower Drive, Suite 600, Springfield, IL 62704 2015-10-21
1770959819 James R Reynolds Hearing Instrument Specialist 2347 W Monroe St, Springfield, IL 62704 2015-08-12
1336576495 Emily Jane Dungey Counselor 920 S Spring St Ste 1300, Springfield, IL 62704 2013-10-03
1942552161 Jeannie Marie Hundley Specialist/Technologist, Other 2921 Monvale Drive, Springfield, IL 62704 2012-10-11
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962644807 Hshs Medical Group Inc Clinic/Center 3051 Hollis Dr, Springfield, IL 62704-7450 2009-03-24
1508835893 Banyan Group, Inc. Clinic/Center 3805 S Kansas Expy, Springfield, MO 65807-6988 2006-03-17
1568017481 Memorial Medical Center Clinic/Center 701 N 1st St, Springfield, IL 62781-0001 2019-08-07
1972030740 Mayo Clinic Health System-southwest Minnesota Region Clinic/Center 625 N Jackson Ave, Springfield, MN 56087-1714 2017-05-11
1386661148 Springfield Medical Associates, Inc Clinic/Center 2150 Main St, Springfield, MA 01104-3300 2006-07-17
1740223874 Peacehealth Clinic/Center 3377 Riverbend Dr, Springfield, OR 97477-8803 2006-06-14
1215974415 Springfield Clinic LLP Clinic/Center 1025 S 6th St, Springfield, IL 62703-2403 2006-05-31
1780638478 Springfield Clinic, LLP Clinic/Center 1025 S 6th St, Springfield, IL 62703-2403 2006-05-19
1326099383 Ferrell Duncan Clinic, Inc Clinic/Center 1001 E Primrose St, Springfield, MO 65807-5155 2006-05-15
1417922964 Memorial Physician Services Clinic/Center 701 N 1st St, Springfield, IL 62781-0001 2006-02-20
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Competitor

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City SPRINGFIELD
Zip Code 62704

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Dataset Information

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.

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