Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL WAYNE CHILDRESS, D.C.
ActiveDR. MICHAEL WAYNE CHILDRESS, D.C. is a Chiropractor healthcare provider located in JOHNSTON CITY, Illinois. NPI 1518155886 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · JOHNSTON CITY, IL
Registration Details
- NPI Number
- 1518155886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2007 (18.853280067722 yrs)
- Last Updated
- Jan 20, 2009
- Licenses
-
038011140 (IL)2007030809 (MO)
Practice Information
- Address
-
217 E BROADWAY BLVDJOHNSTON CITY, IL, 629511604Browse IL providers · Browse ZIP 62951
- Phone
- 6189833900
- Fax
- 6189833900
- Primary Specialty
-
Chiropractor
111N00000X
- Additional Specialty
- Chiropractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.