DR. DOUGLAS CLEMENT DELARYE (NPI# 1235229550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235229550 |
Entity Type | Individual |
Full Name | DR. DOUGLAS CLEMENT DELARYE |
Credential | D.C. |
Practice Address |
4711 Golf Rd 413 Skokie IL 60076-1224 |
Mailing Address |
4711 Golf Rd Suite 413 Skokie IL 60076-1224 |
Practice Telephone | 8473299588 |
Practice Fax Number | 8473299606 |
Mailing Telephone | 8473299588 |
Mailing Fax Number | 8473299606 |
Enumeration Date | 2006-10-15 |
Last Update Date | 2010-01-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038-005444 | IL | Chiropractic Providers |
Street Address |
4711 GOLF RD 413 |
City | SKOKIE |
State | IL |
Zip Code | 60076-1224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497752893 | Alice Chen | Legal Medicine | 4711 Golf Rd, Suite 808, Skokie, IL 60076-1224 | 2005-06-30 |
1811418015 | Pr Orthotics & Ot LLC | Durable Medical Equipment & Medical Supplies | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-06-28 |
1528507548 | Elizabeth Hultman | Nurse Practitioner | 4711 Golf Rd, Skokie, IL 60076-1224 | 2017-02-23 |
1609314616 | Mary Lally | Behavioral Analyst | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
1821536822 | Steinberg Behavior Solutions | Community/Behavioral Health | 4711 Golf Rd, Suite 100, Skokie, IL 60076-1224 | 2017-02-09 |
1205372067 | Olasunkanmi Ogedegbe | Nurse Practitioner | 4711 Golf Rd, Suite 1250, Skokie, IL 60076-1224 | 2017-01-17 |
1952858409 | Marissa Bennett | Behavioral Analyst | 4711 Golf Rd, 100, Skokie, IL 60076-1224 | 2016-09-01 |
1326495243 | Michelle Fisher | Social Worker | 4711 Golf Rd, Suite 400, Skokie, IL 60076-1224 | 2016-05-20 |
1336503119 | Rebecca Arends | Counselor | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-07 |
1992169015 | Jarret Helstern | Nurse Practitioner | 4711 Golf Rd, Suite 1200, Skokie, IL 60076-1224 | 2016-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902456999 | Gateway Foundation, Inc | Clinic/Center | 4028 W. Dempster, Ste 100, Skokie, IL 60076 | 2019-09-12 |
1336798255 | Renee Rosenberg | Speech-Language Pathologist | C/o East Prairie School, 7616 N. East Prairie Road, Skoke, IL 60076 | 2019-09-04 |
1710531223 | Dw Care Solutions | Hospice Care, Community Based | 4556 Oakton St, Suite 205, Skokie, IL 60076 | 2019-08-01 |
1689228157 | Elaine Ng | Pharmacist | 9650 Gross Point Rd Suite 4900, Skokie, IL 60076 | 2019-08-01 |
1881169381 | Kathleen Pyles | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2018-10-10 |
1174013452 | Vitae Health of Illinois LLC | Social Worker | 3450 Oakton St, Skokie, IL 60076 | 2018-05-13 |
1396253530 | Jodi Novick Okner | Social Worker | 9134 Kilbourn Avenue, Skokie, IL 60076 | 2018-01-22 |
1700335924 | Olumide Adeyemo | Nurse Practitioner | 4711 Golf Rd Suite 1250, Skokie, IL 60076 | 2016-09-28 |
1255705315 | Malka Rokach | Pharmacist | 3358 W Touhy, Skokie, IL 60076 | 2015-11-30 |
1578932620 | Katrina Margaret Keithley | Physician Assistant | 9669 Kenton Ave Ste 203, Skokie, IL 60076 | 2015-09-18 |
Find all providers in zip 60076 |
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 |
---|---|---|---|---|
1669012167 | Brion K Nikitow | Chiropractor | 7601 Lowell Ave, Skokie, IL 60076-3713 | 2020-01-13 |
1295279719 | Repair Room LLC | Chiropractor | 8150 Mccormick Blvd, Continuum Gym, Skokie, IL 60076-2920 | 2016-12-19 |
1780079491 | Pamela A Mayhew | Chiropractor | 9715 Woods Dr Unit 1805, Skokie, IL 60077 | 2015-03-31 |
1235490418 | Skokie Chiro Plus Inc | Chiropractor | 9150 Crawford Ave., Suite 204, Skokie, IL 60076 | 2012-06-04 |
1780983734 | David Y. Ko | Chiropractor | 4024 Church St, Skokie, IL 60076-1757 | 2011-03-16 |
1144532326 | Cindy H Ke | Chiropractor | 4024 W. Church St, Skokie, IL 60076-1757 | 2010-07-05 |
1003042243 | Nicholas Steven Mendez | Chiropractor | 10015 Beverly Dr, 207, Skokie, IL 60076-1060 | 2009-06-02 |
1952479313 | Daniel R Wiewel | Chiropractor | 3526 Dempster St, Skokie, IL 60076-2340 | 2006-12-01 |
1316017502 | Pro Health Medical Group | Chiropractor | 4444 Oakton St, Skokie, IL 60076-3259 | 2006-11-08 |
1538274030 | Jin Woo Lee | Chiropractor | 9851 Gross Point Rd, Skokie, IL 60076-1145 | 2006-08-21 |
Find all providers in SKOKIE |
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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.