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Active NPI 1275974545 Organization (Entity Type 2)

Johnson Chiropractic, Sc

Clinic/Center • Normal, IL

Public Directory Information & Medical Disclaimer

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About Johnson Chiropractic, Sc NPI 1275974545 Summary

Johnson Chiropractic, Sc is a verified healthcare organization specializing in Clinic/Center operating in Normal, IL. Located at 310 SUSAN DR, SUITE 2, this facility provides patient care and medical services under National Provider Identifier (NPI) 1275974545.

Administrative operations and authorized compliance are overseen by Joshua Johnson (Owner/Chiropractor).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

310 Susan Dr
Suite 2

Normal, IL 617616246

Telephone 3098081123

Fax 3098081516

Authorized Official Information

Authorized Contact Name

DR. Joshua Johnson , D.C.

Title / Role

Owner/chiropractor

Official Telephone

3098081123

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Dr. Carl Drake , DDS, MS NPI 1124227228

Dentist

Normal, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 15, 2013

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2013

Registered at 310 SUSAN DR, SUITE 2, NORMAL, IL 617616246 (Tel: 3098081123)

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Updated Business Mailing Address July 15, 2013

Registered at 310 SUSAN DR, SUITE 2, NORMAL, IL 617616246 (Tel: 3098081123)

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Organization / Clinic Name Updated July 15, 2013

Operating as JOHNSON CHIROPRACTIC, SC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2013

Clinic/Center (License #038.011514 in IL)

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Initial NPI Registration & Enumeration July 15, 2013

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1275974545

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 15, 2013

Last Update: July 15, 2013

Update or Correct Listing

Mailing Address

310 Susan Dr, Suite 2

Normal, IL 617616246

Phone: 3098081123

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.