Provider Demographics
NPI:1316914419
Name:FUCHS, LEANNE CAROLINE (DC)
Entity type:Individual
Prefix:DR
First Name:LEANNE
Middle Name:CAROLINE
Last Name:FUCHS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2487 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62526-3941
Mailing Address - Country:US
Mailing Address - Phone:217-872-5452
Mailing Address - Fax:217-872-5450
Practice Address - Street 1:2487 N MONROE ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62526-3941
Practice Address - Country:US
Practice Address - Phone:217-872-5452
Practice Address - Fax:217-872-5450
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2876599-0159OtherCIGNA PIN
IL350051064OtherMEDICARE RAILROAD PIN
IL5830001OtherBLUE CROSS BLUE SHIELD PIN
IL425904OtherHEALTHLINK PIN
IL5830001OtherBLUE CROSS BLUE SHIELD PIN
IL350051064OtherMEDICARE RAILROAD PIN