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DR. TABITHA ROBIN ELLSWORTH D.C.
NPI 1245532068
Chiropractor in Granite City, IL

Active since November 30, 2010
3701 NAMEOKI RD, UNIT E, GRANITE CITY, IL 62040(618) 451-8830(866) 912-2457 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tabitha Robin Ellsworth D.c. NPPES

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

DR. TABITHA ROBIN ELLSWORTH D.C. (NPI 1245532068) is an individual chiropractor in Granite City, Illinois, licensed in Illinois (038.011457) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1245532068
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. TABITHA ROBIN ELLSWORTHCredential: D.C.
Location Address3701 NAMEOKI RD, UNIT EGranite City, IL 62040-3711
Mailing Address3701 Nameoki Rd, Unit EGranite City, IL 62040-3711 · (618) 451-8830 · Fax (866) 912-2457
Phone(618) 451-8830
Fax(866) 912-2457
Sole ProprietorYes
Enumeration DateNovember 30, 2010
Last NPPES UpdateDecember 10, 2014
✔ NPI 1245532068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011457
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.
3701 NAMEOKI RD, Granite City, IL 62040
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Other Identifiers 2

Medicaid038011457IL
Medicare PINIL4409IL

Other Providers at the Same Location NPPES

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

ADVANTAGE MEDICAL EQUIPMENT, INC.
Durable Medical Equipment & Medical Supplies
3701 NAMEOKI RD, SUITE A
GRANITE CITY, IL 62040
Madison County (618) 452-4013

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 Tabitha Ellsworth's NPI number?

The NPI number for Tabitha Ellsworth is 1245532068. It was assigned to this individual provider in the NPPES registry on November 30, 2010.

Where is Tabitha Ellsworth located?

Tabitha Ellsworth practices at 3701 Nameoki Rd Unit E, Granite City, IL 62040. The listed phone number is (618) 451-8830.

What is Tabitha Ellsworth'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 Tabitha Ellsworth was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.