WALTON CS-XVI PC (NPI# 1346348802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346348802 |
| Entity Type | Organization |
| Organization Name | WALTON CS-XVI PC |
| Other Organization Name | PRIMARY CARE CHIROPRACTIC |
| Practice Address |
831 W Jackson Plaza Morton IL 61550-1569 |
| Practice Telephone | 3092635698 |
| Practice Fax Number | 3092635697 |
| Mailing Telephone | 3092635698 |
| Mailing Fax Number | 3092635698 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-06-08 |
| Authorized Official Name | CHARLES JASON CARLIN (OWNER) |
| Authorized Official Telephone | 3092635698 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012090 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Primary Care Chiropractic | Doing Business As Name - Organization |
| Street Address |
831 W JACKSON PLAZA |
| City | MORTON |
| State | IL |
| Zip Code | 61550-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316214190 | Chelsi Ann Waddell | Chiropractor | 831 W Jackson Plaza, Morton, IL 61550-1569 | 2011-11-22 |
| 1891094694 | Charles J Carlin | Chiropractor | 831 W Jackson Plaza, Morton, IL 61550-1569 | 2011-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398648 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 853 W Jackson Plaza, Morton, IL 61550 | 2019-10-21 |
| 1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
| 1770983181 | Jennifer Vissering | Nurse Practitioner | 435 Maxine Drive Suite #4, Morton, IL 61550 | 2014-09-04 |
| 1316387236 | Saint Johns Hospital | Rehabilitation Hospital | 141 E Maywood Street, Morton, IL 61550 | 2013-06-25 |
| 1801145610 | Nancy J. Anderson | Counselor | 42 Jasper Drive, Morton, IL 61550 | 2012-09-07 |
| 1689894834 | Kevin Littlefield | Dentist | 320 E Jackson, Morton, IL 61550 | 2007-04-30 |
| 1215081765 | Krueger & Associates LLC | Dentist | 213 S Clifton Street, Morton, IL 61550 | 2007-01-22 |
| 1073686218 | Darin Scott Hoffmire | Social Worker | 2401 South Fourth Street, Morton, IL 61550 | 2006-11-16 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| 1396844932 | G Gene Sidler | Internal Medicine | 619 Jackson St, Morton, IL 61550 | 2006-09-21 |
| Find all providers in zip 61550 | ||||
| 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 |
|---|---|---|---|---|
| 1114438603 | Evergreen Health and Wellness, Ps | Chiropractor | 193 Main Ave, Suite A, Morton, WA 98356 | 2017-10-24 |
| 1922375096 | Adam Thomas Garcia | Chiropractor | 193 Main Ave Suite A, Morton, WA 98356-1800 | 2011-11-17 |
| 1194047324 | Tonya Elizabeth Khouri | Chiropractor | 330 S Main St Ste E, Morton, IL 61550-1977 | 2010-02-15 |
| 1881922474 | Karen Marie Hannah | Chiropractor | 1101 W Jackson St, Ste A, Morton, IL 61550-1559 | 2009-11-19 |
| 1851443212 | John A Swetz | Chiropractor | 118 2nd St, Morton, WA 98356 | 2007-01-17 |
| 1235204892 | Kurt L Ehling | Chiropractor | 112 E Queenwood Rd, Morton, IL 61550-2971 | 2006-11-21 |
| 1427129501 | Daniel E Hall | Chiropractor | 766 W Jefferson St, Morton, IL 61550-1563 | 2006-11-12 |
| 1295812014 | Daniel Devinney | Chiropractor | 1005 Kedron Ave, Morton, PA 19070 | 2006-11-01 |
| 1992803209 | Heartland Chiropractic Clinic of Morton | Chiropractor | 658 W Jackson St, Morton, IL 61550-1536 | 2006-09-20 |
| 1033127725 | Robert Eugene Richardson | Chiropractor | 1636 N Main St, Morton, IL 61550-9057 | 2006-08-04 |
| Find all providers in MORTON | ||||
Please comment or provide details below to improve the information on WALTON CS-XVI PC.
| 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.