DR. SAMUEL HENDRICKS DC
NPI 1609296201
Chiropractor in Peoria, IL

Q: What is Samuel Hendricks's NPI number?

The NPI number for Samuel Hendricks is 1609296201. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Q: What is Samuel Hendricks's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Hendricks was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 22, 2014Accepts Medicare Assignment

2000 W PIONEER PKWY, SUITE 18A, PEORIA, IL 61615(309) 670-2800 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Samuel Hendricks Dc NPPES

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

DR. SAMUEL HENDRICKS DC (NPI 1609296201) is an individual chiropractor in Peoria, Illinois, licensed in Illinois (038012554) and active in the NPI registry since April 2014. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1609296201

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. SAMUEL HENDRICKSCredential: DC

Location Address2000 W PIONEER PKWY, SUITE 18APeoria, IL 61615-1835

Mailing Address2000 W Pioneer Pkwy, Suite 18 APeoria, IL 61615-1835 · (309) 670-2800

Phone(309) 670-2800

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 22, 2014

Last NPPES UpdateJanuary 5, 2016

✔ NPI 1609296201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in IL · 038012554✔ Licensed in ID · CHIA-1598

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.

2000 W PIONEER PKWY, Peoria, IL 61615

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Hendricks Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830409275

PECOS Enrollment IDI20151113001895

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

439 services40 patients

Other Providers at the Same Location NPPES 9

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

MRS. SYLVIA ANA MURPHY LCSW, MA

Social Worker (Clinical)

2000 W PIONEER PKWY, SUITE 3
PEORIA, IL 61615

Peoria County (309) 402-0666

SNYDER COUNSELING SERVICES, PLLC

Social Worker (Clinical)

2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615

Peoria County (309) 678-3957

WILSON EYE CARE CENTER LTD

Optometrist

2000 W PIONEER PKWY, SUITE 23
PEORIA, IL 61615

Peoria County (309) 690-3336

B & B COUNSELING SERVICES, LLC

Counselor (Mental Health)

2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615

Peoria County (309) 648-9939

BRENDA SNYDER LCSW

Social Worker (Clinical)

2000 W PIONEER PKWY
PEORIA, IL 61615

Peoria County (309) 678-3957

AEON SOCIAL EMOTIONAL HEALTH LTD.

Counselor (Mental Health)

2000 W PIONEER PKWY, SUITE 10 A
PEORIA, IL 61615

Peoria County (309) 573-4834

MARK CRAIG LCPC

Counselor (Professional)

2000 W PIONEER PKWY, SUITE 20
PEORIA, IL 61615

Peoria County (309) 258-6473

JAMES P WILSON OD

Optometrist

2000 W PIONEER PKWY, SUITE 23
PEORIA, IL 61615

Peoria County (309) 690-3336

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 Samuel Hendricks's NPI number?

The NPI number for Samuel Hendricks is 1609296201. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Samuel Hendricks located?

Samuel Hendricks practices at 2000 W Pioneer Pkwy Suite 18A, Peoria, IL 61615. The listed phone number is (309) 670-2800.

What is Samuel Hendricks's specialty?

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

Is Samuel Hendricks enrolled in Medicare?

Yes. Samuel Hendricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samuel Hendricks was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.