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KEITH WILLIAM WALDER DC
NPI 1659102382
Chiropractor in Eureka, IL

Active since August 13, 2024Accepts Medicare Assignment
1815 S MAIN ST, EUREKA, IL 61530(309) 265-0200(309) 205-3896 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith William Walder Dc NPPES

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

KEITH WILLIAM WALDER DC (NPI 1659102382) is an individual chiropractor in Eureka, Illinois, licensed in Illinois (038.014171) and active in the NPI registry since August 2024. He is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1659102382
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameKEITH WILLIAM WALDERCredential: DC
Location Address1815 S MAIN STEureka, IL 61530-1707
Mailing Address1815 S Main StEureka, IL 61530-1707 · (309) 265-0200 · Fax (309) 205-3896
Phone(309) 265-0200
Fax(309) 205-3896
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateAugust 13, 2024
Last NPPES UpdateAugust 17, 2024
NPPES CertifiedAugust 17, 2024
✔ NPI 1659102382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.014171
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.
1815 S MAIN ST, Eureka, IL 61530
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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

Keith William Walder 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 ID8628519139
PECOS Enrollment IDI20240925000039

Other Providers at the Same Location NPPES

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

MODERN MOVEMENT PLLC
Chiropractor
1815 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 265-0200

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 Keith Walder's NPI number?

The NPI number for Keith Walder is 1659102382. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Keith Walder located?

Keith Walder practices at 1815 S Main St, Eureka, IL 61530. The listed phone number is (309) 265-0200.

What is Keith Walder's specialty?

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

Is Keith Walder enrolled in Medicare?

Yes. Keith Walder 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 Keith Walder was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.