STAUNTON CHIROPRACTIC CLINIC, INC.
NPI 1629272133
Chiropractor in Staunton, IL

Q: What is Staunton Chiropractic Clinic, Inc.'s NPI number?

The NPI number for Staunton Chiropractic Clinic, Inc. is 1629272133. It was assigned to this organization in the NPPES registry on June 11, 2007.

Q: What is Staunton Chiropractic Clinic, Inc.'s specialty?

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

Active since June 11, 2007

426 W PEARL ST, STAUNTON, IL 62088(618) 635-3200(618) 635-5445 Get Directions Write a Review

NPPES record last updated: June 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Staunton Chiropractic Clinic, Inc. NPPES

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

STAUNTON CHIROPRACTIC CLINIC, INC. (NPI 1629272133) is a healthcare organization registered as a chiropractor in Staunton, Illinois and active in the NPI registry since June 2007. The organization lists Jeffrey D Roller, Owner, as its authorized official.

NPPES Registry Identity

NPI1629272133

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSTAUNTON CHIROPRACTIC CLINIC, INC.

Location Address426 W PEARL STStaunton, IL 62088-1313

Mailing Address426 W Pearl StStaunton, IL 62088-1313 · (618) 635-3200 · Fax (618) 635-5445

Phone(618) 635-3200

Fax(618) 635-5445

Organization SubpartNo

Authorized OfficialJeffrey D RollerOwner · (618) 635-3200

Enumeration DateJune 11, 2007

Last NPPES UpdateJune 21, 2013

✔ NPI 1629272133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 38-009779

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.

426 W PEARL ST, Staunton, IL 62088

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Other Identifiers 1

Medicare ID-Type Unspecified210315IL

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

Other Providers at the Same Location NPPES

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

JEFFREY D ROLLER D.C.

Chiropractor

426 W PEARL ST
STAUNTON, IL 62088

Macoupin County (618) 635-3200

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 Staunton Chiropractic Clinic, Inc.'s NPI number?

The NPI number for Staunton Chiropractic Clinic, Inc. is 1629272133. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Staunton Chiropractic Clinic, Inc. located?

Staunton Chiropractic Clinic, Inc. is located at 426 W Pearl St, Staunton, IL 62088. The listed phone number is (618) 635-3200.

What is Staunton Chiropractic Clinic, Inc.'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 Staunton Chiropractic Clinic, Inc. was last updated on June 21, 2013. 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.