Taylorville Chiropractic Clinic Ltd.
NPI 1063491389ActiveOrganization· Chiropractor· Granite City, IL
Chiropractor in Granite City, Illinois, registered in NPPES in January 2006, part of Taylorville Chiropractic Clinic Ltd. The authorized official on file is Philip S. Dudak, DC, President Of Corporation.
Overview
| NPI | 1063491389 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Taylorville Chiropractic Clinic Ltd. |
| NPI issued | Jan 13, 2006 |
| Last updated in NPPES | Jul 22, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 038006559 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Chiropractor providers in Granite City
- 1891973020
- 1386883940
- 1841457926
- 1164523338
- 1699947424
- 1578860664
- 1902930969
- 1528072451
- 1083017164
- 1497980494
- 1497309066
- 1346412921