SCHELLY CHIROPRACTIC, INC (NPI# 1194027003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194027003 |
| Entity Type | Organization |
| Organization Name | SCHELLY CHIROPRACTIC, INC |
| Practice Address |
1208 W Loucks Peoria IL 61604 |
| Mailing Address |
1208 W Loucks Ave Peoria IL 61604-2604 |
| Practice Telephone | 3096826624 |
| Practice Fax Number | 3096826625 |
| Mailing Telephone | 3096826624 |
| Mailing Fax Number | 3096826625 |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-03-24 |
| Authorized Official Name | DR. LAURA J SCHELLY (OWNER/DOCTOR) |
| Authorized Official Telephone | 3096826624 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38006410 | IL | Chiropractic Providers |
| Street Address |
1208 W LOUCKS |
| City | PEORIA |
| State | IL |
| Zip Code | 61604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| 1407948607 | Andrew Jon Heritch | Psychiatry & Neurology | 3116 N Dries Ln, #201, Peoria, IL 61604 | 2006-09-28 |
| Find all providers in zip 61604 | ||||
| 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 |
|---|---|---|---|---|
| 1467094557 | Chiro One Wellness Center of Peoria LLC | Chiropractor | 4125 N Sheridan Rd, Peoria, IL 61614-7167 | 2019-10-10 |
| 1134778418 | Benjamin Charles Deig | Chiropractor | 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | 2019-09-09 |
| 1851951610 | Wyatt Richard Kissling | Chiropractor | 26135 N 85th Dr, Peoria, AZ 85383-3608 | 2019-06-14 |
| 1336707447 | Pyle Family Chiropractic Pllc | Chiropractor | 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 | 2019-06-04 |
| 1356849772 | Brandie Long | Chiropractor | 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 | 2018-01-31 |
| 1457865933 | Hanna Ariella Singer | Chiropractor | 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 | 2017-11-20 |
| 1548798333 | Bryan Scott Rand | Chiropractor | 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 | 2017-05-24 |
| 1568903433 | Timothy Ballitch | Chiropractor | 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 | 2017-03-13 |
| 1215398367 | Alp Wellness Inc | Chiropractor | 4700 N University St Spc 65, Peoria, IL 61614-5849 | 2016-03-17 |
| 1275912545 | Lindsey Lea Rafool | Chiropractor | 719 W Lake Ave, Peoria, IL 61614-5941 | 2015-05-20 |
| Find all providers in PEORIA | ||||
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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.