DR. PHILLIP ANDREW GAMBLE (NPI# 1215373857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215373857 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP ANDREW GAMBLE |
| Credential | D.C. |
| Practice Address |
409 Illinois Ave Unit 1c St Charles IL 60174-2966 |
| Mailing Address |
409 Illinois Ave Unit 1c St Charles IL 60174 |
| Practice Telephone | 6304420057 |
| Practice Fax Number | 6307910861 |
| Mailing Telephone | 6304420057 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012389 | IL | Chiropractic Providers |
| Street Address |
409 ILLINOIS AVE UNIT 1C |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194166884 | Neha Shah Gamble | Chiropractor | 409 Illinois Ave Unit 1c, St Charles, IL 60174-2966 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 1639700776 | Longevity Health and Fitness, Inc. | Chiropractor | 1150 N 5th Ave Ste B2, St Charles, IL 60174-1277 | 2020-01-28 |
| 1659901296 | Alysha Alonzo | Chiropractor | 451 Dunham Rd Ste 700, St Charles, IL 60174-1444 | 2020-01-23 |
| 1174174122 | Quast Dc Ltd | Chiropractor | 451 Dunham Rd Ste G, St Charles, IL 60174-1431 | 2019-09-21 |
| 1497228746 | Runyan Chiropractic LLC | Chiropractor | 1607 E Main St Ste A, St Charles, IL 60174-2390 | 2019-01-09 |
| 1639644115 | C&s Health LLC | Chiropractor | 1450 W Main St Ste G, St Charles, IL 60174-1679 | 2018-10-10 |
| 1710487756 | Kimbra Nicole Runyan | Chiropractor | 1607 E Main St Ste 2a, St Charles, IL 60174-2390 | 2018-02-16 |
| 1609397983 | Tmj and Sleep Therapy Centre of Chicago LLC | Chiropractor | 700 E Main St Ste A, St Charles, IL 60174-2200 | 2017-06-27 |
| 1356686695 | Colleen Marie Horn | Chiropractor | 1750 E Main St Ste 140, St Charles, IL 60174-2363 | 2012-11-27 |
| 1730449315 | Michael Pica P.C. | Chiropractor | 4n701 School Rd Ste A, St Charles, IL 60175-6508 | 2012-05-17 |
| 1639409261 | Brett R Martin | Chiropractor | 1601 E Main St Ste 1b, St Charles, IL 60174-2387 | 2010-01-04 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.