CARLINVILLE CHIROPRACTIC CLINIC LTD
NPI 1174707939
Chiropractor in Carlinville, IL

Active since December 28, 2007
295 NORTH BROAD, CARLINVILLE, IL 62626(217) 854-8211(217) 854-3636 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlinville Chiropractic Clinic Ltd NPPES

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

CARLINVILLE CHIROPRACTIC CLINIC LTD (NPI 1174707939) is a healthcare organization registered as a chiropractor in Carlinville, Illinois and active in the NPI registry since December 2007. The organization lists Mark Walter Wade, Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1174707939
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCARLINVILLE CHIROPRACTIC CLINIC LTD
Location Address295 NORTH BROADCarlinville, IL 62626-1301
Mailing Address295 North BroadCarlinville, IL 62626 · (217) 854-8211 · Fax (217) 854-3636
Fax(217) 854-3636
Organization SubpartNo
Authorized OfficialMark Walter WadeChiropractic · (217) 854-8211
Enumeration DateDecember 28, 2007
Last NPPES UpdateJune 25, 2013
✔ NPI 1174707939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 37-11104570
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.
295 NORTH BROAD, Carlinville, IL 62626

Other Identifiers 1

Medicare PIN232760IL

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)

Carlinville Chiropractic Clinic Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carlinville Chiropractic Clinic Ltd, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1023555166
295 N BROAD ST
Carlinville, IL 62626
(217) 854-8211
Same address
Chiropractic
NPI 1972553410
295 N BROAD ST
Carlinville, IL 62626
(217) 854-8211
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 Carlinville Chiropractic Clinic Ltd's NPI number?

The NPI number for Carlinville Chiropractic Clinic Ltd is 1174707939. It was assigned to this organization in the NPPES registry on December 28, 2007.

Where is Carlinville Chiropractic Clinic Ltd located?

Carlinville Chiropractic Clinic Ltd is located at 295 North Broad, Carlinville, IL 62626. The listed phone number is (217) 854-8211.

What is Carlinville Chiropractic Clinic Ltd's specialty?

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

Is Carlinville Chiropractic Clinic Ltd enrolled in Medicare?

Yes. Carlinville Chiropractic Clinic Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carlinville Chiropractic Clinic Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Carlinville Chiropractic Clinic Ltd. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carlinville Chiropractic Clinic Ltd was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.