Provider Demographics
NPI:1982683082
Name:MEINDERS, ROBERT L (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:MEINDERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5206 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-4731
Mailing Address - Country:US
Mailing Address - Phone:618-234-5200
Mailing Address - Fax:618-234-4400
Practice Address - Street 1:5206 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-4731
Practice Address - Country:US
Practice Address - Phone:618-234-5200
Practice Address - Fax:618-234-4400
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038003655111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL08282011OtherBLUE CROSS BLUE SHIELD
IL791350646OtherMEDICARE RAILROAD
IL038003655Medicaid
IL8769885OtherCIGNA
IL179566OtherHEALTHLINK PPO AND HMO
IL628035OtherAMERICAN CHIROPRACTIC NETWORK
ILK50224Medicare PIN