MARY MELISSA FITZSIMMONS (NPI# 1356457873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356457873 |
| Entity Type | Individual |
| Full Name | MARY MELISSA FITZSIMMONS |
| Credential | D.C. |
| Practice Address |
300 E Baltimore St Wilmington IL 60481-1236 |
| Practice Telephone | 8154763700 |
| Practice Fax Number | 8154761067 |
| Mailing Telephone | 8154763700 |
| Mailing Fax Number | 8154761067 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 0009926858 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205073467 | Mary C Fitzsimmons | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2009-01-09 |
| Street Address |
300 E BALTIMORE ST |
| City | WILMINGTON |
| State | IL |
| Zip Code | 60481-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679774947 | Fitzsimmons Chiropractic P.C. | Chiropractor | 300 E Baltimore St, Wilmington, IL 60481-1236 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834592 | Wilmington C U Sch Dist 209u | Local Education Agency (LEA) | 209u Wildcat Court, Wilmington, IL 60481 | 2007-03-02 |
| 1649355660 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1101 S. Water St., Wilmington, IL 60481 | 2006-10-26 |
| 1659437325 | Wilmington Fire Protection District | Ambulance | 501 N Water St, Wilmington, IL 60481-1189 | 2006-12-28 |
| 1386938868 | Joan Papes | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2011-06-02 |
| 1538553730 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2015-03-25 |
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1710036082 | Michael Joseph Condon | Chiropractor | 676 W Baltimore St, Wilmington, IL 60481-1281 | 2007-01-09 |
| 1942368691 | Patrick John Yerkes | Dentist | 688 W Baltimore St, Wilmington, IL 60481-1281 | 2006-12-05 |
| 1689661985 | Dean Allen Hoppenrath | Chiropractor | 309 W Baltimore St, Wilmington, IL 60481-1292 | 2005-10-02 |
| 1790222842 | Wilmington Chiropractic Inc | Chiropractor | 309 W Baltimore St, Wilmington, IL 60481-1292 | 2017-01-27 |
| Find all providers in zip 60481 | ||||
| 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 |
|---|---|---|---|---|
| 1063028504 | Kyle Ukrainyc Dc LLC | Chiropractor | 1600 N Washington St Fl 2, Wilmington, DE 19802-4722 | 2020-09-21 |
| 1891306676 | John A. Pirritano, Portofino Chiropractic | Chiropractor | 601 N Avalon Blvd Ste A, Wilmington, CA 90744-5871 | 2020-08-13 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1013540830 | Yekaterina Grinchak | Chiropractor | 3411 Silverside Rd Ste 102, Wilmington, DE 19810-4812 | 2020-02-20 |
| 1972140978 | Caitlyn Helene Demetrious | Chiropractor | 7491 Market St # A, Wilmington, NC 28411-9454 | 2019-12-09 |
| 1396382776 | Alexis Demetrious | Chiropractor | 7649 Market St, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1922645209 | Grant Gowing | Chiropractor | 7491 Market St Ste A, Wilmington, NC 28411-9454 | 2019-12-05 |
| 1366089690 | Delaware Spine | Chiropractor | 1117 N Franklin St Ste A, Wilmington, DE 19806-4331 | 2019-12-05 |
| 1710538319 | First State Spinal Rehabilitation LLC | Chiropractor | 2500 W 4th St Ste 4, Wilmington, DE 19805-3352 | 2019-09-25 |
| 1679036826 | Taylor Cox | Chiropractor | 1319 Military Cutoff Rd Ste Ll, Wilmington, NC 28405-3640 | 2019-04-12 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 60481 |
Please comment or provide details below to improve the information on MARY MELISSA FITZSIMMONS.
| 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.