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GREENVILLE REHAB & PAIN CLINIC SC
NPI 1629197066
Chiropractor in Greenville, IL

Active since March 28, 2007
1105 E HARRIS AVE, GREENVILLE, IL 62246(618) 664-4600(618) 664-2136 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenville Rehab & Pain Clinic Sc NPPES

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

GREENVILLE REHAB & PAIN CLINIC SC (NPI 1629197066) is a healthcare organization registered as a chiropractor in Greenville, Illinois and active in the NPI registry since March 2007. The organization lists Matthew Ray Chenault, Owner, as its authorized official.

NPPES Registry Identity

NPI1629197066
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREENVILLE REHAB & PAIN CLINIC SC
Location Address1105 E HARRIS AVEGreenville, IL 62246-2221
Mailing Address1105 E Harris AveGreenville, IL 62246-2221 · (618) 664-4600 · Fax (618) 664-2136
Phone(618) 664-4600
Fax(618) 664-2136
Organization SubpartNo
Authorized OfficialMatthew Ray ChenaultOwner · (618) 664-4600
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 9, 2009
✔ NPI 1629197066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 042.618745
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 042618745 (IL)
1105 E HARRIS AVE, Greenville, IL 62246
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Other Identifiers 2

Other0332010IL · Bcbs
Medicare PIN213144IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

DR. MATTHEW RAY CHENAULT D. C.
Chiropractor
1105 E HARRIS AVE
GREENVILLE, IL 62246
Bond County (618) 664-4600
GRPC WELLNESS CLINIC SC
Physical Medicine & Rehabilitation
1105 E HARRIS AVE
GREENVILLE, IL 62246
Bond County (618) 664-4600
MRS. TAMMY SUE TULACRO LPT/LAT
Specialist/Technologist (Athletic Trainer)
1105 E HARRIS AVE
GREENVILLE, IL 62246
Bond County (618) 664-4600
DR. LARRY DEAN BRUNO D.C.
Chiropractor
1105 E HARRIS AVE
GREENVILLE, IL 62246
Bond County (618) 664-4600
MISS KIMBERLY NICOLE MABRY LMT
Massage Therapist
1105 E HARRIS AVE
GREENVILLE, IL 62246
Bond County (618) 664-4600

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 Greenville Rehab & Pain Clinic Sc's NPI number?

The NPI number for Greenville Rehab & Pain Clinic Sc is 1629197066. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Greenville Rehab & Pain Clinic Sc located?

Greenville Rehab & Pain Clinic Sc is located at 1105 E Harris Ave, Greenville, IL 62246. The listed phone number is (618) 664-4600.

What is Greenville Rehab & Pain 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 Greenville Rehab & Pain Clinic Sc was last updated on March 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.