NU-ATRICS: PEDIATRIC NUTRITION & WELLNESS LLC (NPI# 1033687843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033687843 |
Entity Type | Organization |
Organization Name | NU-ATRICS: PEDIATRIC NUTRITION & WELLNESS LLC |
Practice Address |
211 W Willow St Fairbury IL 61739-1172 |
Practice Telephone | 3098073323 |
Mailing Telephone | 8154198757 |
Enumeration Date | 2018-11-09 |
Last Update Date | 2018-11-09 |
Authorized Official Name | DR. ADRIAN L. BACHMAN (PRESIDENT) |
Authorized Official Telephone | 8154198757 |
Authorized Official Credential | DC, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
211 W WILLOW ST |
City | FAIRBURY |
State | IL |
Zip Code | 61739-1172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
1316101025 | Tracy Neal Taylor | Dentist | 202 East Locust Street, Fairbury, IL 61739 | 2008-07-11 |
1154491884 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 902 E Oak St, Fairbury, IL 61739 | 2006-11-09 |
1255748745 | Brenton Waystout | Nurse Practitioner | 115 E Walnut St, Fairbury, IL 61739 | 2014-07-16 |
1740354117 | Henry John Handler | Dentist | 110 N 2nd St, Fairbury, IL 61739-1116 | 2006-11-20 |
1114987161 | Fairview Haven Inc | Skilled Nursing Facility | 605 N 4th St, Fairbury, IL 61739-1210 | 2006-03-24 |
1336306570 | Prairie Central Cusd No 8 | Local Education Agency (LEA) | 605 N 7th St, Fairbury, IL 61739-1300 | 2008-05-16 |
1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
1659704740 | Julie Patten | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2013-08-13 |
1124341250 | Michelle L. Miller | Specialist/Technologist | 902 E Oak St, Suite 3, Fairbury, IL 61739-1390 | 2010-03-03 |
Find all providers in zip 61739 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
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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.