ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC (NPI# 1366705113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366705113 |
| Entity Type | Organization |
| Organization Name | ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS PC |
| Practice Address |
1109 N State St Monticello IL 61856-1175 |
| Mailing Address |
Po Box 235 Monticello IL 61856-0235 |
| Practice Telephone | 2177628576 |
| Practice Fax Number | 2177628578 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | GAY LYNNE ADAMS (PRESIDENT) |
| Authorized Official Telephone | 2177628576 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 038-007231 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 07423137 | 01 |
| Street Address |
1109 N STATE ST |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-1175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073652913 | Gay Lynne Adams | Chiropractor | 1109 N State St, Monticello, IL 61856-1175 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508251786 | Grand Manor | Clinic/Center | 1960 Highway 425 N, Monticello, AR 71655-8862 | 2015-04-03 |
| 1841453271 | Studer Chiropractic, P.C. | Clinic/Center | 113 Locust St, Monticello, MN 55362-8849 | 2008-07-07 |
| 1770519100 | Mckiever Clinic | Clinic/Center | 766 H L Ross Dr, Monticello, AR 71655-5706 | 2006-06-25 |
| 1306192695 | Horizon Chiropractic LLC | Clinic/Center | 920 W Broadway St, Monticello, IN 47960-1814 | 2012-07-24 |
| 1114291879 | Foothills Academy, Inc. | Clinic/Center | 80 Rolling Hills Blvd, Monticello, KY 42633-9005 | 2012-02-28 |
| 1710113071 | Reinhart Family Healthcare Pllc | Clinic/Center | 777 Jordan Dr, Monticello, AR 71655-5719 | 2009-06-01 |
| 1669591053 | Jefferson Management Services Inc | Clinic/Center | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2007-03-28 |
| 1669590113 | Jefferson Management Service Inc | Clinic/Center | 750 H L Ross Dr, Monticello, AR 71655-5705 | 2007-03-26 |
| 1841318334 | Jefferson Management Services | Clinic/Center | 777 Jordan Dr, Monticello, AR 71655-5719 | 2007-03-26 |
| 1275624694 | Sdtc The Center for Discovery | Clinic/Center | 606 Old Route 17, Monticello, NY 12701-7013 | 2006-09-28 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 61856 |
Please comment or provide details below to improve the information on ADAMS ENTERPRISES OF EAST CENTRAL ILLINOIS 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.