JONATHAN ILLMAN (NPI# 1033434931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033434931 |
| Entity Type | Individual |
| Full Name | JONATHAN ILLMAN |
| Credential | D.C. |
| Practice Address |
2350 17th Ave Suite 105 Longmont CO 80503-1737 |
| Practice Telephone | 3036517003 |
| Mailing Telephone | 3036517003 |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6511 | CO | Chiropractic Providers |
| Street Address |
2350 17TH AVE SUITE 105 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80503-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366511644 | James A Maurer | Dentist | 2350 17th Ave, Suite 204, Longmont, CO 80503-1737 | 2006-11-08 |
| 1770891806 | Left Hand Chiropractic Center LLC | Chiropractor | 2350 17th Ave, Suite 105, Longmont, CO 80503-1737 | 2010-09-23 |
| 1154643534 | Christine Illman | Chiropractor | 2350 17th Ave, Suite 105, Longmont, CO 80503-1737 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145025 | Home Care Colorado, LLC | In Home Supportive Care | 2919 17th Ave., Suite 215, Longmont, CO 80503 | 2020-02-07 |
| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1467981993 | Donna Faye Georje Mchaney | Nurse Practitioner | 903 Reynolds Farm Lane, Longmont, CO 80503 | 2017-06-08 |
| 1972030161 | Advanced Vision Surgery Center LLC | Clinic/Center | 1390 Dry Creek Drive, Longmont, CO 80503 | 2017-05-18 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1710340211 | Rachel A Schreiber | Optometrist | 8900 Prairie Knoll Dr, Longmont, CO 80503 | 2016-04-01 |
| 1427368299 | Sally Anne Thompson | Specialist | 3664 Oakwood Drive, Longmont, CO 80503 | 2010-10-14 |
| 1124357082 | Penny Trevithick | Specialist | 8380 Hygiene Rd, Longmont, CO 80503 | 2009-12-23 |
| 1104155381 | Adrienne R. Leeds | Midwife | 1736 Clover Creek Dr, Longmont, CO 80503 | 2009-12-16 |
| 1003142928 | Sarah Jean Dubbe | Massage Therapist | 1690 Brown Court, Longmont, CO 80503 | 2009-10-28 |
| Find all providers in zip 80503 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855950 | Hg Wellness LLC | Chiropractor | 1240 Ken Pratt Blvd # 7-3, Longmont, CO 80501-6300 | 2019-11-14 |
| 1437701349 | Carissa Supry | Chiropractor | 829 Main St Ste 6, Longmont, CO 80501-4954 | 2019-07-10 |
| 1629561683 | Kevin Berg | Chiropractor | 1020 Ken Pratt Blvd Unit D, Longmont, CO 80501-6376 | 2018-06-13 |
| 1427478544 | Cameron Richard Nyman | Chiropractor | 2144 Main St Ste 3, Longmont, CO 80501-8403 | 2014-04-16 |
| 1770824310 | Micheal Allen Walker | Chiropractor | 351 Coffman St, Ste 120, Longmont, CO 80501-5457 | 2013-03-06 |
| 1891048484 | Dennis Orvin Thompson | Chiropractor | 5562 Prospect Rd, Longmont, CO 80503-9046 | 2012-10-19 |
| 1760730378 | Carlson Family Chiropractic, PC | Chiropractor | 900 Coffman St Ste D, Longmont, CO 80501-4588 | 2012-08-29 |
| 1669761458 | Mvp Chiropractic | Chiropractor | 2030 Terry St Ste A, Longmont, CO 80501-1889 | 2011-03-31 |
| 1164726303 | Rejuv Health Makeovers | Chiropractor | 742 Tenacity, Unit A, Longmont, CO 80504 | 2011-01-03 |
| 1326341900 | Whitney Reed Carlson | Chiropractor | 438 Terry St, Longmont, CO 80501-5442 | 2010-12-21 |
| Find all providers in LONGMONT | ||||
Please comment or provide details below to improve the information on JONATHAN ILLMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.