HEALTHSOURCE CHIROPRACTIC OF CHAMPAIGN, S.C.
NPI 1023556164
Clinic/Center in Champaign, IL

Active since February 09, 2017
2003 ROUND BARN RD, SUITE B, CHAMPAIGN, IL 61821(217) 281-0006 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2018, Feb 9, 2017 (2 updates tracked since 2017).

About Healthsource Chiropractic Of Champaign, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE CHIROPRACTIC OF CHAMPAIGN, S.C. (NPI 1023556164) is a healthcare organization registered as a clinic/center in Champaign, Illinois and active in the NPI registry since February 2017. The organization lists Cameron Robert Mackichan, Owner, as its authorized official.

NPPES Registry Identity

NPI1023556164
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHEALTHSOURCE CHIROPRACTIC OF CHAMPAIGN, S.C.
Location Address2003 ROUND BARN RD, SUITE BChampaign, IL 61821-6827
Mailing Address2003 Round Barn Rd, Suite BChampaign, IL 61821-6827 · (217) 281-0006
Organization SubpartNo
Authorized OfficialCameron Robert MackichanOwner · (217) 281-0006
Enumeration DateFebruary 9, 2017
Last NPPES UpdateJanuary 16, 20182 updates tracked since enumeration
✔ NPI 1023556164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 038.012800
Definition
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).
2003 ROUND BARN RD, Champaign, IL 61821

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Chiropractic Of Champaign, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Chiropractic Of Champaign, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1487008272
2003 ROUND BARN RD STE B
Champaign, IL 61821
(217) 281-0006
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Chiropractic Of Champaign, S.C.'s NPI number?

The NPI number for Healthsource Chiropractic Of Champaign, S.C. is 1023556164. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Healthsource Chiropractic Of Champaign, S.C. located?

Healthsource Chiropractic Of Champaign, S.C. is located at 2003 Round Barn Rd Suite B, Champaign, IL 61821. The listed phone number is (217) 281-0006.

What is Healthsource Chiropractic Of Champaign, S.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Healthsource Chiropractic Of Champaign, S.C. enrolled in Medicare?

Yes. Healthsource Chiropractic Of Champaign, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Chiropractic Of Champaign, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Chiropractic Of Champaign, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthsource Chiropractic Of Champaign, S.C. was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.