SELVIDGE CHIROPRACTIC PC
NPI 1205027364
Chiropractor in Mattoon, IL

Active since August 05, 2007
608 BROADWAY AVE, MATTOON, IL 61938(217) 235-4664(217) 235-2100 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Selvidge Chiropractic Pc NPPES

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

SELVIDGE CHIROPRACTIC PC (NPI 1205027364) is a healthcare organization registered as a chiropractor in Mattoon, Illinois and active in the NPI registry since August 2007. The organization lists Donald R. Selvidge, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1205027364
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSELVIDGE CHIROPRACTIC PC
Location Address608 BROADWAY AVEMattoon, IL 61938-4321
Mailing Address608 Broadway AveMattoon, IL 61938-4321 · (217) 235-4664 · Fax (217) 235-2100
Fax(217) 235-2100
Organization SubpartNo
Authorized OfficialDonald R. SelvidgeDoctor Of Chiropractic · (217) 235-4664
Enumeration DateAugust 5, 2007
Last NPPES UpdateNovember 21, 2007
✔ NPI 1205027364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
608 BROADWAY AVE, Mattoon, IL 61938

Other Identifiers 1

Medicare PIN691150IL

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
608 BROADWAY AVE
MATTOON, IL 61938
Chiropractor
608 BROADWAY AVE
MATTOON, IL 61938
Chiropractor
608 BROADWAY AVE
MATTOON, IL 61938
Chiropractor
608 BROADWAY AVE
MATTOON, IL 61938

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 Selvidge Chiropractic PC's NPI number?

The NPI number for Selvidge Chiropractic PC is 1205027364. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Selvidge Chiropractic PC located?

Selvidge Chiropractic PC is located at 608 Broadway Ave, Mattoon, IL 61938. The listed phone number is (217) 235-4664.

What is Selvidge Chiropractic PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Selvidge Chiropractic PC was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.