DEMITRIUS BRACKETT (NPI# 1053911479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053911479 |
| Entity Type | Individual |
| Full Name | DEMITRIUS BRACKETT |
| Practice Address |
350 E Washington St Joliet IL 60433-1150 |
| Practice Telephone | 3123125791 |
| Mailing Telephone | 3123125791 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
350 E WASHINGTON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60433-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245366483 | Morningstar Counseling | Counselor | 350 E Washington St, Joliet, IL 60433-1150 | 2007-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710105978 | Aparna Gottumukkula | Dentist | 1106 Neal Avenue, Joliet, IL 60433 | 2007-04-23 |
| 1932114758 | County of Will | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2006-07-30 |
| 1346481082 | Will County Health Dept | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2009-03-10 |
| 1588819544 | Will County Health Department | Clinic/Center | 501 Ella Ave, Joliet, IL 60433 | 2008-11-18 |
| 1982176285 | Anita Lomax | Assistant Behavior Analyst | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2018-12-26 |
| 1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
| 1326541566 | Ready To Go LLC | Non-emergency Medical Transport (VAN) | 119 Logan Ave, Joliet, IL 60433-1262 | 2018-03-14 |
| 1215223755 | Kodo Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1522 E Washington St, Joliet, IL 60433-1365 | 2011-06-23 |
| 1710175864 | Brookelyn Anhalt | Speech-Language Pathologist | 2422 Erskine Rd, Joliet, IL 60433-1612 | 2007-10-12 |
| 1710406855 | Mary Margaret Ruettiger | Speech-Language Pathologist | 2500 Dougall Rd, Joliet, IL 60433-1655 | 2017-09-10 |
| Find all providers in zip 60433 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
| 1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
| 1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
| 1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
| 1134597636 | Great River Pain Clinic LLC | Clinic/Center | 555 N Kellogg St, Galesburg, IL 61401-3726 | 2015-09-14 |
| 1649651951 | Wellness Institute of Illinois, Ltd. | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2015-06-11 |
| 1558618512 | Precision Diagnostics | Clinic/Center | 18623 81st Ave, Tinley Park, IL 60487-6279 | 2012-08-09 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 1952565384 | Aaa Headache and Pain Clinic Ltd | Clinic/Center | 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 | 2008-07-15 |
| 1639332505 | Interventional Pain Medicine LLC | Clinic/Center | 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
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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.