CHIRO ONE WELLNESS CENTER OF JOLIET LLC (NPI# 1356678171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356678171 |
| Entity Type | Organization |
| Organization Name | CHIRO ONE WELLNESS CENTER OF JOLIET LLC |
| Practice Address |
2410 W Jefferson St Ste 116 Joliet IL 60435-6449 |
| Mailing Address |
2625 Butterfield Rd Ste 301n Oak Brook IL 60523-1234 |
| Practice Telephone | 8154832790 |
| Practice Fax Number | 8154832795 |
| Mailing Telephone | 6303206400 |
| Mailing Fax Number | 6303206489 |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2013-08-12 |
| Authorized Official Name | SAM WANG (COO) |
| Authorized Official Telephone | 6304681824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
2410 W JEFFERSON ST STE 116 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346794575 | Chaniqua Mcfadden | Dentist | 2410 W Jefferson St, 108, Joliet, IL 60435-6449 | 2016-08-04 |
| 1619242906 | Dental Smiles | Dentist | 2410 W Jefferson St, Suite 108, Joliet, IL 60435-6449 | 2012-03-20 |
| 1164759981 | Andrea Blake | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1619536927 | Dale Anthony Mraz | Chiropractor | 823 N 129th Infantry Dr Ste 101, Joliet, IL 60435-8347 | 2019-06-10 |
| 1972966034 | Jose Carlo Martinez | Chiropractor | 2611 E Cass St, Joliet, IL 60432-9761 | 2016-04-05 |
| 1215314505 | Diana Martinez | Chiropractor | 2615 E Cass St, Joliet, IL 60432-9761 | 2015-05-06 |
| 1932548195 | Tyrah Tucker | Chiropractor | 2411 W Jefferson St, Joliet, IL 60435-6448 | 2013-06-21 |
| 1477803286 | Integrated Health Source S.c. | Chiropractor | 2411 West Jefferson Street, Joliet, IL 60435-6448 | 2012-09-19 |
| 1821370586 | Southwest Spine & Ortho Rehabilitation | Chiropractor | 2400 Glenwood Ave Ste 220, Joliet, IL 60435-5498 | 2011-09-19 |
| 1235437104 | Bolton Family Chiropractic Ltd | Chiropractor | 3581 Hennepin Dr, Joliet, IL 60431-9205 | 2011-03-02 |
| 1649572496 | Carissa M Baranoski | Chiropractor | 3037 Theodore St, Joliet, IL 60435-5191 | 2010-11-30 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1518153345 | Rebecca K Ross | Chiropractor | 550 Silver Leaf Dr, Joliet, IL 60431-8330 | 2007-09-14 |
| Find all providers in JOLIET | ||||
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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.