CHAMPAIGN CHIROPRACTIC LLC (NPI# 1407419807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407419807 |
| Entity Type | Organization |
| Organization Name | CHAMPAIGN CHIROPRACTIC LLC |
| Practice Address |
1103 W Windsor Rd Champaign IL 61821-6999 |
| Mailing Address |
414 W Jefferson Ave Effingham IL 62401-2336 |
| Practice Telephone | 2173427222 |
| Mailing Telephone | 2173427222 |
| Mailing Fax Number | 2173427214 |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2019-04-21 |
| Authorized Official Name | RODNEY STANFIELD (OWNER) |
| Authorized Official Telephone | 2173427222 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
1103 W WINDSOR RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-6999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650726 | Daniel John Vanklingeren | Chiropractor | 1103 W Windsor Rd, Champaign, IL 61821-6999 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
|---|---|---|---|---|
| 1366063984 | Ezequiel Maldonado-vazquez | Chiropractor | 517 W Town Center Blvd Ste 507, Champaign, IL 61822-1248 | 2020-05-05 |
| 1891232153 | Young Chiropractic & Acupuncture, Ltd. | Chiropractor | 2911 Crossing Court, Suite 101, Champaign, IL 61822-6108 | 2017-01-25 |
| 1528511540 | J Casey Pride | Chiropractor | 1003 Barclay Ct, Champaign, IL 61821-7019 | 2016-07-26 |
| 1487008272 | Cameron Robert Mackichan | Chiropractor | 2003 Round Barn Rd Ste B, Champaign, IL 61821-6828 | 2016-04-18 |
| 1114260452 | Kassie Jean Young | Chiropractor | 2911 Crossing Ct Suite 101, Champaign, IL 61822-6108 | 2013-04-05 |
| 1750667770 | Peter J. O'brien | Chiropractor | 4910 Windsor Rd, Champaign, IL 61822-9723 | 2011-10-24 |
| 1689977456 | Baxter Chiropractic, Ltd | Chiropractor | 2917 Crossing Ct Ste B1, Champaign, IL 61822-6185 | 2010-12-16 |
| 1588997027 | Melby Chiropractic PC | Chiropractor | 801 W Springfield Ave, Champaign, IL 61820-4881 | 2009-09-16 |
| 1336324961 | Edward Chun, P.C. | Chiropractor | 1207 S Mattis Ave Ste 2, Champaign, IL 61821-4862 | 2008-01-02 |
| 1295915221 | Sandra Sue Schwartz | Chiropractor | 1401b South State Street, Champaign, IL 61820-6877 | 2007-11-07 |
| Find all providers in CHAMPAIGN | ||||
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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.