SANTOS NATURAL HEALTH CENTER,LTD (NPI# 1336510601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336510601 |
| Entity Type | Organization |
| Organization Name | SANTOS NATURAL HEALTH CENTER,LTD |
| Practice Address |
6905 Cermak Rd Ste B Berwyn IL 60402-2175 |
| Practice Telephone | 7083174240 |
| Practice Fax Number | 8442739797 |
| Mailing Telephone | 7083174240 |
| Mailing Fax Number | 8442739797 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | DR. KHALAF H KHALIFEH (PRESIDENT) |
| Authorized Official Telephone | 7086917406 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012693 | IL | Chiropractic Providers |
| Street Address |
6905 CERMAK RD STE B |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104291434 | Santos Natural Health Center | Exclusive Provider Organization | 6905 Cermak Rd Ste B, Berwyn, IL 60402-2175 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| 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 |
|---|---|---|---|---|
| 1992101844 | Khalaf H Khalifeh | Chiropractor | 6905 Cermak Rd, Ste B, Berwyn, IL 60402-2175 | 2014-11-04 |
| 1417224445 | Pietro Tinnirello | Chiropractor | 2827 Harlem Ave, Berwyn, IL 60402-2825 | 2011-11-18 |
| 1457635716 | Berwyn Medical Sc | Chiropractor | 7008 Cermak Rd, Berwyn, IL 60402-2151 | 2011-10-05 |
| 1093099756 | Tilak R Dhingra | Chiropractor | 6905-a West Cermak Road, Berwyn, IL 60402-2175 | 2011-09-29 |
| 1104060789 | Trakst, P.C. | Chiropractor | 6645 W. Stanley Ave., Berwyn, IL 60402-3128 | 2009-04-27 |
| 1124270376 | Elizabeth Kroculick Carter | Chiropractor | 682 Lancaster Ave, Berwyn, PA 19312-1673 | 2008-10-21 |
| 1538281589 | Daniel V. Fortuna, D.c., S.c. | Chiropractor | 2947 Oak Park Ave, Berwyn, IL 60402-3048 | 2007-04-03 |
| 1821121864 | George Edward Winternheimer | Chiropractor | 7008 W Cermak, Berwyn, IL 60402-2151 | 2007-03-13 |
| 1922137496 | Rimas Leo Novickis | Chiropractor | 6645 Stanley Ave, Berwyn, IL 60402-3128 | 2007-03-02 |
| 1700943321 | Bruce Rachum | Chiropractor | 2223 South Oak Park Avenue, Berwyn, IL 60402-4670 | 2007-01-02 |
| Find all providers in BERWYN | ||||
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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.