Charles E King Jr. (NPI# 1285733360, PAC ID# 1153330121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1285733360 |
| PAC ID by PECOS | 1153330121 |
| Professional Enrollment ID | I20060419000642 |
| Full Name | Charles E King Jr. |
| Organization Legal Name | KING SPINAL AND SPORTS REHABILITATION LTD |
| Address |
1525 Johnson Rd Granite City IL 62040-3831 |
| Phone Number | 6184521986 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1984 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2466461439 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1525 Johnson Rd, Granite City, IL 62040-3831 | 6184521986 | KING SPINAL AND SPORTS REHABILITATION LTD |
| Organization Legal Name | KING SPINAL AND SPORTS REHABILITATION LTD |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry D Hawkins | Physical Therapy | King Spinal and Sports Rehabilitation Ltd | 1525 Johnson Rd, Granite City, IL 62040-3831 |
| Street Address |
1525 JOHNSON RD |
| City | GRANITE CITY |
| State | IL |
| Zip | 62040-3831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry D Hawkins | Physical Therapy | King Spinal and Sports Rehabilitation Ltd | 1525 Johnson Rd, Granite City, IL 62040-3831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Darr | Clinical Social Worker | 1635 W 1st St, Suite 110, Granite City, IL 62040-1883 | |
| Rita A Tucker | Nurse Practitioner | Westco Haggerty Medical Partners, P.a. | 3500 Century Dr, Granite City, IL 62040-2166 |
| Valerie J Barber | Optometry | 4182 Nameoki Rd, Granite City, IL 62040-2330 | |
| Mark Alan Kleindorfer | Optometry | 1801 Pontoon Rd, Granite City, IL 62040-2338 | |
| Alice Halliday | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Danielle Homan | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Stephanie Boerding | Nurse Practitioner | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Ashley Marie Hynes | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Robert J Montgomery | Physician Assistant | Granite City Urgent Care Walk-in Clinic | 2861 Madison Ave, Granite City, IL 62040-3614 |
| Andrew L Dorough | Chiropractic | Dr E L Strotheide Ltd | 3412 Nameoki Rd, Granite City, IL 62040-3702 |
| Find all physicians in zip 62040 | |||
| City | GRANITE CITY |
| Zip Code | 62040 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GRANITE CITY + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.