EQUILIBRIUM HEALTH AND WELLNESS, LLC (NPI# 1093066003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093066003 |
| Entity Type | Organization |
| Organization Name | EQUILIBRIUM HEALTH AND WELLNESS, LLC |
| Practice Address |
1509 S State St Chicago IL 60605-2804 |
| Practice Telephone | 3123441384 |
| Practice Fax Number | 3123441457 |
| Mailing Telephone | 3123441384 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | DR. JESSICA H CHAN (CHIROPRACTOR) |
| Authorized Official Telephone | 3123441384 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 038012068 | IL | Managed Care Organizations |
| Street Address |
1509 S STATE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60605-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033488242 | Jessica H Chan | Chiropractor | 1509 S State St, Chicago, IL 60605-2804 | 2011-12-16 |
| 1881132371 | Jasmine Brown | Chiropractor | 1509 S State St, Chicago, IL 60605-2804 | 2017-02-06 |
| 1205291853 | Khadijah Kysia | Acupuncturist | 1509 S State St, Chicago, IL 60605-2804 | 2015-12-28 |
| 1215392428 | Julia Macglashan | Acupuncturist | 1509 S State St, Chicago, IL 60605-2804 | 2015-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074219 | Kheri Dunkins | Counselor | 1136 S Delano Ct, Suite B201, Chicago, IL 60605 | 2020-08-22 |
| 1134739196 | Erin Odonnell | Physical Therapist | 1255 Soputh State Street, Unit 6, Chicago, IL 60605 | 2020-08-05 |
| 1225658032 | Rita Haber | Speech-Language Pathologist | 1255 S Michigan Avenue, 207, Chicago, IL 60605 | 2020-04-21 |
| 1285288753 | My Travel Guy, Inc. | Transportation Broker | 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 | 2019-08-01 |
| 1699230417 | Iesha Marsh | Home Health Aide | 820 S Park Terrance, Apt813, Chicago, IL 60605 | 2019-02-06 |
| 1538633482 | Sara Miller | Counselor | 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 | 2019-01-14 |
| 1992203798 | Lorna Johnson | Nurse Practitioner | 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 | 2018-01-26 |
| 1790226207 | Undine and Associates | Social Worker | 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 | 2017-03-16 |
| 1659811529 | Paul Parpart | Occupational Therapist | 1235 S Prairie, Chicago, IL 60605 | 2017-02-27 |
| 1144679879 | Osco Drug | Ambulance | 1529 S State St 6e, Chicago, IL 60605 | 2016-06-03 |
| Find all providers in zip 60605 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129625 | Shawnte Jenkins-alexander, Ed.d. Lcpc. Ltd | Preferred Provider Organization | 155 N Michigan Ave Ste 328, Chicago, IL 60601-7591 | 2020-06-18 |
| 1053876367 | Hope Network Foundation | Preferred Provider Organization | 332 S Michigan Ave Ste 10850, Chicago, IL 60604-4434 | 2019-01-31 |
| 1801336441 | Emily Edelman Psychotherapy, An Illinois Corporation | Preferred Provider Organization | 2100 S Marshall Blvd, Apt 804, Chicago, IL 60623-3679 | 2017-03-01 |
| 1417310335 | The Metro Mentorship Initiative | Preferred Provider Organization | 1828 N Lowell Ave, Chicago, IL 60639-4818 | 2016-03-29 |
| 1982081055 | Abc Dental PC | Preferred Provider Organization | 4608 W Diversey Ave, Chicago, IL 60639-1801 | 2015-04-28 |
| 1093119521 | 3 H Care Inc. | Preferred Provider Organization | 4850 S Lake Park Ave Apt 1710, Chicago, IL 60615-2073 | 2014-10-13 |
| 1578988937 | Joshua Allied Home Health Corporation | Preferred Provider Organization | 4250 N Marine Dr Apt 2534, Chicago, IL 60613-1741 | 2014-02-21 |
| 1891119590 | Rimya | Preferred Provider Organization | 2545 W Diversey Ave, Chicago, IL 60647-7172 | 2014-02-15 |
| 1639442536 | Park Smile Design | Preferred Provider Organization | 300 W Adams St Ste 323, Chicago, IL 60606-5107 | 2012-02-23 |
| 1669799813 | Body Works Health & Wellness LLC | Preferred Provider Organization | 825 W. Monroe St., Chicago, IL 60607 | 2010-04-28 |
| Find all providers in CHICAGO | ||||
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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.