DE WILD CHIROPRACTIC CENTER, INC
NPI 1912054677
Chiropractor in Red Bud, IL

Q: What is De Wild Chiropractic Center, Inc's NPI number?

The NPI number for De Wild Chiropractic Center, Inc is 1912054677. It was assigned to this organization in the NPPES registry on January 4, 2007.

Q: What is De Wild Chiropractic Center, Inc's specialty?

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

Active since January 04, 2007

930 W MARKET ST, SUITE 1, RED BUD, IL 62278(618) 282-3900(618) 282-3971 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About De Wild Chiropractic Center, Inc NPPES

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

DE WILD CHIROPRACTIC CENTER, INC (NPI 1912054677) is a healthcare organization registered as a chiropractor in Red Bud, Illinois and active in the NPI registry since January 2007. The organization lists Jennifer Ranee Dewilde, President, as its authorized official.

NPPES Registry Identity

NPI1912054677

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameDE WILD CHIROPRACTIC CENTER, INC

Location Address930 W MARKET ST, SUITE 1Red Bud, IL 62278-1006

Mailing Address930 W Market St, Suite 1Red Bud, IL 62278-1006 · (618) 282-3900 · Fax (618) 282-3971

Phone(618) 282-3900

Fax(618) 282-3971

Organization SubpartNo

Authorized OfficialJennifer Ranee DewildePresident · (618) 282-3900

Enumeration DateJanuary 4, 2007

Last NPPES UpdateAugust 29, 2007

✔ NPI 1912054677 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.

930 W MARKET ST, Red Bud, IL 62278

Open in Google Maps ↗

Other Identifiers 3

Other7932010IL · Bcbs

Other671268IL · Uhc

Medicare ID-Type Unspecified211984IL

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 De Wild Chiropractic Center, Inc's NPI number?

The NPI number for De Wild Chiropractic Center, Inc is 1912054677. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is De Wild Chiropractic Center, Inc located?

De Wild Chiropractic Center, Inc is located at 930 W Market St Suite 1, Red Bud, IL 62278. The listed phone number is (618) 282-3900.

What is De Wild Chiropractic Center, 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 De Wild Chiropractic Center, Inc was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.