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SMALL MIRACLES CHIROPRACTIC CLINIC SC
NPI 1609129865
Chiropractor in Atlanta, IL

Active since October 24, 2012
110 SE VINE ST UNIT 2, ATLANTA, IL 61723(217) 648-5555 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Small Miracles Chiropractic Clinic Sc NPPES

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

SMALL MIRACLES CHIROPRACTIC CLINIC SC (NPI 1609129865) is a healthcare organization registered as a chiropractor in Atlanta, Illinois and active in the NPI registry since October 2012. The organization lists Staci Marie Hieronymus Kong, Chiropractic Physician, as its authorized official.

NPPES Registry Identity

NPI1609129865
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSMALL MIRACLES CHIROPRACTIC CLINIC SC
Location Address110 SE VINE ST UNIT 2Atlanta, IL 61723-7611
Mailing Address110 Se Vine St Unit 2Atlanta, IL 61723-7611
Phone(217) 648-5555
Organization SubpartNo
Authorized OfficialStaci Marie Hieronymus KongChiropractic Physician · (217) 648-5555
Enumeration DateOctober 24, 2012
✔ NPI 1609129865 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.
110 SE VINE ST UNIT 2, Atlanta, IL 61723
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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

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 Small Miracles Chiropractic Clinic Sc's NPI number?

The NPI number for Small Miracles Chiropractic Clinic Sc is 1609129865. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Small Miracles Chiropractic Clinic Sc located?

Small Miracles Chiropractic Clinic Sc is located at 110 SE Vine St Unit 2, Atlanta, IL 61723. The listed phone number is (217) 648-5555.

What is Small Miracles Chiropractic Clinic Sc'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 Small Miracles Chiropractic Clinic Sc was last updated on October 24, 2012. 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.