DR. MICHAEL BRODIE MEDLOCK (NPI# 1235495623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235495623 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRODIE MEDLOCK |
| Credential | D.C. |
| Practice Address |
1300 Iroquois Ave Suite 270 Naperville IL 60563-8553 |
| Mailing Address |
1300 Iroquois Ave Suite 270 Naperville IL 60563 |
| Practice Telephone | 6304280201 |
| Mailing Telephone | 6304280201 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012161 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887185 | Michael Dean Medlock | Neurological Surgery | 47 Congress St, Salem, MA 01970 | 2005-11-07 |
| Street Address |
1300 IROQUOIS AVE SUITE 270 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-8553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447383203 | Robert Leonard Wheeler IIi | Dentist | 1300 Iroquois Ave, Ste 130, Naperville, IL 60563-8553 | 2007-03-13 |
| 1215550017 | Ioana Batzova | Counselor | 1300 Iroquois Ave, 160, Naperville, IL 60563 | 2020-05-27 |
| 1841646999 | Emily Pagone | Counselor | 1300 Iroquois Ave, Suite 160, Naperville, IL 60563-8553 | 2016-05-08 |
| 1649614199 | Victory Rehab, LLC | Chiropractor | 1300 Iroquois Ave, 270, Naperville, IL 60563-8553 | 2013-04-25 |
| 1699082339 | Thomas C Campbell IIi | Chiropractor | 1300 Iroquois Ave, Suite 270, Naperville, IL 60563-8553 | 2010-09-01 |
| 1457599029 | Christopher Brock Kessler | Chiropractor | 1300 Iroquois Ave, Naperville, IL 60563-8553 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| 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 |
|---|---|---|---|---|
| 1265042022 | Naperville Chiropractic and Massage | Chiropractor | 47 E Chicago Ave Ste 332, Naperville, IL 60540-5360 | 2020-08-06 |
| 1083246110 | Dr. Leah Rose LLC | Chiropractor | 1100 Sherman Ave Ste 105, Naperville, IL 60563-4855 | 2020-02-06 |
| 1659914984 | Dr. Jess Enderby LLC | Chiropractor | 1415 Bond St Ste 171, Naperville, IL 60563-2769 | 2019-10-18 |
| 1518518380 | Claire Trafton | Chiropractor | 1767 W Ogden Ave Ste 143, Naperville, IL 60540-5008 | 2019-09-24 |
| 1982257150 | Susan Kennedy | Chiropractor | 1220 W Ogden Ave Ste D, Naperville, IL 60563-3977 | 2019-07-17 |
| 1770041022 | Austin Warden | Chiropractor | 2531 W 75th St Ste 2531d, Naperville, IL 60540-9000 | 2019-03-06 |
| 1699244848 | Advanced Sport and Wellness Ltd | Chiropractor | 1805 N Mill St Ste E, Naperville, IL 60563-4860 | 2018-11-16 |
| 1902312390 | Timothy Faulkner, Dc | Chiropractor | 500 E Ogden Ave Ste 100, Naperville, IL 60563-3264 | 2017-12-20 |
| 1740714450 | Elite Recovery Chiropractic | Chiropractor | 43 Glencoe Ct, 101a, Naperville, IL 60565-2100 | 2017-04-19 |
| 1861840464 | William Bolster | Chiropractor | 524 W 5th Ave, Naperville, IL 60563-2901 | 2016-05-25 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
Please comment or provide details below to improve the information on DR. MICHAEL BRODIE MEDLOCK.
| 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.