ABUNDANT LIFE MEDICAL CLINIC, LLC
NPI 1912910688
Legal Medicine in Taylorville, IL

Active since August 14, 2006
1141 N CHENEY ST, TAYLORVILLE, IL 62568(217) 824-2524(217) 824-2588 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abundant Life Medical Clinic, Llc NPPES

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

ABUNDANT LIFE MEDICAL CLINIC, LLC (NPI 1912910688) is a healthcare organization registered as a legal medicine in Taylorville, Illinois and active in the NPI registry since August 2006. The organization lists Gerry A Klinefelter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1912910688
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameABUNDANT LIFE MEDICAL CLINIC, LLC
Location Address1141 N CHENEY STTaylorville, IL 62568-2741
Mailing Address1141 N Cheney StTaylorville, IL 62568-2741 · (217) 824-2524 · Fax (217) 824-2588
Fax(217) 824-2588
Organization SubpartNo
Authorized OfficialGerry A KlinefelterOffice Manager · (217) 824-2524
Enumeration DateAugust 14, 2006
Last NPPES UpdateJanuary 15, 2009
NPI 1912910688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
1141 N CHENEY ST, Taylorville, IL 62568

Other Identifiers 1

Medicare PIN952810IL

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 5

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1141 N CHENEY ST
TAYLORVILLE, IL 62568
Obstetrics & Gynecology
1141 N CHENEY ST
TAYLORVILLE, IL 62568
Nurse Practitioner (Family)
1141 N CHENEY ST
TAYLORVILLE, IL 62568
Family Medicine
1141 N CHENEY ST
TAYLORVILLE, IL 62568
Obstetrics & Gynecology (Obstetrics)
1141 N CHENEY ST
TAYLORVILLE, IL 62568

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 Abundant Life Medical Clinic, LLC's NPI number?

The NPI number for Abundant Life Medical Clinic, LLC is 1912910688. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Abundant Life Medical Clinic, LLC located?

Abundant Life Medical Clinic, LLC is located at 1141 N Cheney St, Taylorville, IL 62568. The listed phone number is (217) 824-2524.

What is Abundant Life Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for Abundant Life Medical Clinic, LLC was last updated on January 15, 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.