Search › Illinois › 111N00000X
Michael Childress, D.C
NPI 1518155886 · on the registry since 2007
Practice
- Address
- 217 E Broadway Blvd
Johnston City, IL 62951 - Phone
- (618) 983-3900
- Fax
- (618) 983-3900
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois