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Haven Chiropractic Care, PC

NPI 1205600863ActiveOrganization· Clinic/Center· O Fallon, IL

Clinic/Center in O Fallon, Illinois, registered in NPPES in November 2023. The authorized official on file is Randi Tyler, DC, President.

Overview

NPI1205600863
StatusActive
Entity typeOrganization
NPI issuedNov 14, 2023
Last updated in NPPESNov 14, 2023
Certified by providerNov 14, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in O Fallon

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