MEDICARE: WITTENAUER CHIROPRACTIC PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038-007782	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881853257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WITTENAUER CHIROPRACTIC PC

Provider Business Mailing Address
First Line	:	103 E JACKSON ST
Second Line	:
City	:	PINCKNEYVILLE
State	:	IL
Zip	:	62274-1141
Country	:	US
Telephone Number	:	618-357-5012
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 E JACKSON ST
Second Line	:
City	:	PINCKNEYVILLE
State	:	IL
Zip	:	62274-1141
Country	:	US
Telephone Number	:	618-357-5012
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JAMES ALBERT WITTENAUER
Credential	:	D.C.
Telephone Number	:	618-357-3089

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	06/02/2008

Similar Medicare Providers

1093826802 — JAMES ALBERT WITTENAUER D.C.
Practice Location Address:

103 E JACKSON ST
PINCKNEYVILLE, IL
62274-1141

Practice Phone: 618-357-5012
Practice Fax: 618-357-9034

1588660633 — DR. BRYAN R BOWEN OD
Practice Location Address:

401 S WALNUT ST
PINCKNEYVILLE, IL
62274-1344

Practice Phone: 618-357-2020
Practice Fax: 618-357-2100

1114910312 — PERRY COUNTY GOVERNMENT
Practice Location Address:

907 SOUTH MAIN STREET
PINCKNEYVILLE, IL
62274-1700

Practice Phone: 618-357-5371
Practice Fax: 618-357-3190

1235128554 — BETH A BIGHAM M.D.
Practice Location Address:

13 N WALNUT ST
PINCKNEYVILLE, IL
62274-1050

Practice Phone: 618-357-2147
Practice Fax: 618-357-8142

1790774826 — ROBERT J DAVIDSON M.D.
Practice Location Address:

13 N WALNUT ST
PINCKNEYVILLE, IL
62274-1050

Practice Phone: 618-357-2147
Practice Fax: 618-357-8142

1144211764 — DR. ATKAVI SAWADISAVI MD
Practice Location Address:

101 N WALNUT ST
PINCKNEYVILLE, IL
62274-1034

Practice Phone: 618-357-5920
Practice Fax: 618-357-3096

Directions to “WITTENAUER CHIROPRACTIC PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.