MS. SUSAN MARIE MINDER D.C. NPI 1124236989

NPI Information

  • NPI: 1124236989
  • Provider Name: MS. SUSAN MARIE MINDER, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 2025 W ILES AVE
    SUITE B
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 241-5300

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NPI Details

MS. Susan Marie Minder, D.C. is a chiropractor in Springfield, IL. The provider is 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. MS. Susan Marie Minder, D.C. NPI is 1124236989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2025 W ILES AVE
SUITE B
SPRINGFIELD, IL
ZIP 62704-190
Phone: (217) 241-5300
Fax: (217) 241-5322

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorILLINOISYes
2111NR0400XChiropractorRehabilitationILLINOISX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U67334MEDICARE UPIN
284-20187OTHERBLUE CROSS & BLUE SHIELD
3339643OTHERHEALTH LINK
4310750MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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