Alexis Kaye Black, DC is a
Chiropractor based in Streator, Illinois. Alexis Kaye Black is licensed to practice in Illinois (license number 038.014184) and her current practice location is
119 S Sterling St, Streator, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 672-2176.
NPI number for Alexis Kaye Black is 1669294526 and her current mailing address is 301 Lextin Dr, Streator, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669294526.
Healthcare Provider's Profile
Full Name | Alexis Kaye Black |
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Gender | Female |
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Speciality | Chiropractor |
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Location | 119 S Sterling St, Streator, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669294526
- Provider Enumeration Date: 10/30/2024
- Last Update Date: 10/30/2024
Medical Identifiers
Medical identifiers for Alexis Kaye Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669294526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NI0013X | Chiropractor - Independent Medical Examiner | 038.014184 (Illinois) | Secondary |
111NI0900X | Chiropractor - Internist | 038.014184 (Illinois) | Secondary |
111NN0400X | Chiropractor - Neurology | 038.014184 (Illinois) | Secondary |
111NN1001X | Chiropractor - Nutrition | 038.014184 (Illinois) | Secondary |
111NP0017X | Chiropractor - Pediatric Chiropractor | 038.014184 (Illinois) | Secondary |
111NR0200X | Chiropractor - Radiology | 038.014184 (Illinois) | Secondary |
111NR0400X | Chiropractor - Rehabilitation | 038.014184 (Illinois) | Secondary |
111NS0005X | Chiropractor - Sports Physician | 038.014184 (Illinois) | Secondary |
111NT0100X | Chiropractor - Thermography | 038.014184 (Illinois) | Secondary |
111NX0100X | Chiropractor - Occupational Health | 038.014184 (Illinois) | Secondary |
111NX0800X | Chiropractor - Orthopedic | 038.014184 (Illinois) | Secondary |
111N00000X | Chiropractor | 038.014184 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexis Kaye Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alexis Kaye Black, DC 301 Lextin Dr, Streator, IL 61364-9316 Ph: (815) 257-5394 | Alexis Kaye Black, DC 119 S Sterling St, Streator, IL 61364-3015 Ph: (815) 672-2176 |
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