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ZIMMERMAN CHIROPRACTIC CLINIC PC
NPI 1396053005
Chiropractor in Du Quoin, IL

Active since September 15, 2010
7 E MAIN ST, DU QUOIN, IL 62832(618) 542-2165(618) 542-9276 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zimmerman Chiropractic Clinic Pc NPPES

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

ZIMMERMAN CHIROPRACTIC CLINIC PC (NPI 1396053005) is a healthcare organization registered as a chiropractor in Du Quoin, Illinois and active in the NPI registry since September 2010. The organization lists Richard Wayne Zimmerman, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1396053005
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameZIMMERMAN CHIROPRACTIC CLINIC PC
Location Address7 E MAIN STDu Quoin, IL 62832-1420
Mailing Address7 E Main StDu Quoin, IL 62832-1420 · (618) 542-2165 · Fax (618) 542-9276
Phone(618) 542-2165
Fax(618) 542-9276
Organization SubpartNo
Authorized OfficialRichard Wayne ZimmermanChiropractor/owner · (618) 542-2165
Enumeration DateSeptember 15, 2010
✔ NPI 1396053005 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.
7 E MAIN ST, Du Quoin, IL 62832
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Other Identifiers 4

Medicaid038007421IL
Other07308609IL · Blue Cross Blue Shield
Medicare UPINU51517IL
Medicare PIN353021IL

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)

Zimmerman Chiropractic Clinic 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 Zimmerman Chiropractic Clinic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard Zimmerman, D.C.
Chiropractic
NPI 1790891273
7 E MAIN ST
Du Quoin, IL 62832
(618) 542-2165
✔ Accepts Medicare2.8 mi

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 Zimmerman Chiropractic Clinic PC's NPI number?

The NPI number for Zimmerman Chiropractic Clinic PC is 1396053005. It was assigned to this organization in the NPPES registry on September 15, 2010.

Where is Zimmerman Chiropractic Clinic PC located?

Zimmerman Chiropractic Clinic PC is located at 7 E Main St, Du Quoin, IL 62832. The listed phone number is (618) 542-2165.

What is Zimmerman Chiropractic Clinic PC's specialty?

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

Is Zimmerman Chiropractic Clinic PC enrolled in Medicare?

Yes. Zimmerman Chiropractic Clinic PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Zimmerman Chiropractic Clinic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Zimmerman Chiropractic Clinic 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 Zimmerman Chiropractic Clinic PC was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.