| Champaign Chiropractic Llc | |
|
1103 W Windsor Rd, Champaign, IL 61821-6999 | |
| (217) 342-7222 | |
| Not Available |
| Full Name | Champaign Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1103 W Windsor Rd, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407419807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Rodney W Stanfield |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376589127 PECOS PAC ID: 5698780039 Enrollment ID: I20060207000483 |
| Provider Name | Ezequiel Maldonado Vazquez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366063984 PECOS PAC ID: 7315362225 Enrollment ID: I20200808000008 |
| Provider Name | Krystal Marie Valentin Carde |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700478872 PECOS PAC ID: 7719393933 Enrollment ID: I20210311002524 |
| Provider Name | Brenna Theresa Marie Gray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689341638 PECOS PAC ID: 9032517446 Enrollment ID: I20211014001621 |
| Provider Name | Katelynn E Buhrmester |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770201642 PECOS PAC ID: 6507233764 Enrollment ID: I20221101003029 |
| Provider Name | Andrew Kyu Hwan Kim |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699471151 PECOS PAC ID: 7214301753 Enrollment ID: I20230323000883 |
| Provider Name | Darian Yeap Jing Jun |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1477237402 PECOS PAC ID: 1254791395 Enrollment ID: I20230720001638 |
| Mailing Address | Practice Location Address |
|---|---|
| Champaign Chiropractic Llc 414 W Jefferson Ave, Effingham, IL 62401-2336 Ph: (217) 342-7222 | Champaign Chiropractic Llc 1103 W Windsor Rd, Champaign, IL 61821-6999 Ph: (217) 342-7222 |
Dr. Edward Soojin Chun, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 S Mattis Ave, Ste2, Champaign, IL 61821 Phone: 217-355-5922 Fax: 217-355-5925 | |
Julie A Lorence, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1712 S. Duncan Road, Suite B, Champaign, IL 61822 Phone: 217-359-6625 Fax: 217-355-9771 | |
Dr. Matthew Brooks Butler, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 2911 Crossing Court, Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Dr. Tommy Keith Gossett, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2009 Fox Drive, Champaign, IL 61820 Phone: 217-351-8040 Fax: 217-239-5983 | |
Pride Clinic, Sc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3105 Village Office Place, Champaign, IL 61822 Phone: 217-352-9108 | |
Dr. Kassie Jean Young, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2911 Crossing Ct Suite 101, Champaign, IL 61822 Phone: 217-359-0550 Fax: 217-359-0808 | |
Daniel John Vanklingeren, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1103 W Windsor Rd, Champaign, IL 61821 Phone: 217-954-0124 Fax: 217-954-0135 |