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CENTRAL ILLINOIS CHIROPRACTIC CENTER PC
NPI 1164941308
Chiropractor in East Peoria, IL

Active since September 19, 2017
731 SABRINA DR UNIT B, EAST PEORIA, IL 61611(309) 699-2422 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jan 18, 2018, Sep 19, 2017 (3 updates tracked since 2017).

About Central Illinois Chiropractic Center Pc NPPES

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

CENTRAL ILLINOIS CHIROPRACTIC CENTER PC (NPI 1164941308) is a healthcare organization registered as a chiropractor in East Peoria, Illinois and active in the NPI registry since September 2017. The organization maintains a secondary practice location in Bloomington and lists Michael Walz, Owner, as its authorized official.

NPPES Registry Identity

NPI1164941308
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCENTRAL ILLINOIS CHIROPRACTIC CENTER PC
Location Address731 SABRINA DR UNIT BEast Peoria, IL 61611-3582
Mailing Address731 Sabrina Dr Unit BEast Peoria, IL 61611-3582
Phone(309) 699-2422
Organization SubpartNo
Authorized OfficialMichael WalzOwner · (309) 699-2422
Enumeration DateSeptember 19, 2017
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1164941308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011847
Definition
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.
731 SABRINA DR UNIT B, East Peoria, IL 61611
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Secondary Practice Location 1

Location 12201 Eastland Dr Ste 3Bloomington, IL 61704-7923 · Phone (309) 808-0064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central Illinois Chiropractic Center Pc 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 Central Illinois Chiropractic Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Walz, D.C.
Chiropractic
NPI 1841594850
731 SABRINA DR
East Peoria, IL 61611
(309) 699-2422
✔ Accepts MedicareSame 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 Central Illinois Chiropractic Center PC's NPI number?

The NPI number for Central Illinois Chiropractic Center PC is 1164941308. It was assigned to this organization in the NPPES registry on September 19, 2017.

Where is Central Illinois Chiropractic Center PC located?

Central Illinois Chiropractic Center PC is located at 731 Sabrina Dr Unit B, East Peoria, IL 61611. The listed phone number is (309) 699-2422.

What is Central Illinois Chiropractic Center PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Central Illinois Chiropractic Center PC enrolled in Medicare?

Yes. Central Illinois Chiropractic Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central Illinois Chiropractic Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Central Illinois Chiropractic Center PC. 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 Central Illinois Chiropractic Center PC was last updated on March 17, 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.