PAGE FAMILY CHIROPRACTIC CLINIC INC (NPI# 1154432193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154432193 |
| Entity Type | Organization |
| Organization Name | PAGE FAMILY CHIROPRACTIC CLINIC INC |
| Other Organization Name | BACK PAIN CLINIC |
| Practice Address |
2700 N Jackson Danville IL 61832 |
| Practice Telephone | 2174467200 |
| Practice Fax Number | 2174460090 |
| Mailing Telephone | 2174467200 |
| Mailing Fax Number | 2174460090 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | DR. GARY DEAN PAGE JR. (PRESIDENT CHIROPRACTOR) |
| Authorized Official Telephone | 2174467200 |
| Authorized Official Credential | CHIROPRACTOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 038009157 | IL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 038005681 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH ALLIANCE DR PAGE | 010248 | 01 | |
| HLTH ALLIANCE DR RITCHIE | 063656 | 01 | |
| PERSONAL CARE DR RITCHIE | 177910 | 01 | |
| BLUE CROSS BLUE SHIELD | 9215163 | 01 | |
| PERSONAL CARE DR PAGE | 177908 | 01 |
| Other Name | Type Code |
|---|---|
| Back Pain Clinic | Doing Business As Name - Organization |
| Street Address |
2700 N JACKSON |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558470237 | Gary Dean Page Jr. | Chiropractor | 2700 N Jackson, Danville, IL 61832 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1447886247 | Matthew Scott Honchel | Chiropractor | 101 Citation Dr Ste A, Danville, KY 40422-9227 | 2020-03-12 |
| 1598292914 | Brad Richardson | Chiropractor | 4145 Blackhawk Plaza Cir Ste 101, Danville, CA 94506-4698 | 2017-05-16 |
| 1114384468 | Blake Allen Walker | Chiropractor | 100 Brenda Ave, Danville, KY 40422-8713 | 2016-01-18 |
| 1407221468 | Daniel Chiropractic Pllc | Chiropractor | 2276 Franklin Tpke Ste 115, Danville, VA 24540-5284 | 2015-12-02 |
| 1013323484 | Dga Chiropractic and Wellness | Chiropractor | 344 Rose Ave, Danville, CA 94526-3320 | 2014-07-07 |
| 1396160214 | Steven Stone | Chiropractor | 145 Town and Country Dr, Suite 105, Danville, CA 94526-3963 | 2014-02-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1790124170 | Kobsar Chiropractic Corp | Chiropractor | 308 Romae Ct, Danville, CA 94526-1863 | 2013-06-19 |
| 1457692113 | Mahsa Khodabakhsh | Chiropractor | 811 San Ramon Valley Blvd, Suite #103, Danville, CA 94526-4025 | 2013-03-06 |
| 1427307719 | Isaac Caleb Hill | Chiropractor | 3262 Riverside Dr, Danville, VA 24541-3429 | 2012-09-03 |
| Find all providers in DANVILLE | ||||
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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.