EVANSTON SPINE AND REHAB P.C. (NPI# 1356824601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356824601 |
| Entity Type | Organization |
| Organization Name | EVANSTON SPINE AND REHAB P.C. |
| Practice Address |
1325 Howard St Ste 309 Evanston IL 60202-3788 |
| Mailing Address |
817 Chicago Ave Apt 5 Evanston IL 60202-2353 |
| Practice Telephone | 7734258333 |
| Mailing Telephone | 7734258333 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | DR. VINCENT J ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 7734258333 |
| Authorized Official Credential | DC, FACO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 817 Chicago Ave Apt 5, Evanston, IL 602022353 | 7734258333 |
| Street Address |
1325 HOWARD ST STE 309 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811430481 | Mateusz Jan Cichowicz | Chiropractor | 8612 S 85th Ct, Hickory Hills, IL 60457-1012 | 2016-11-29 |
| 1740527449 | William Walter Anthony | Chiropractor | 443 S Clay St, Hinsdale, IL 60521-4035 | 2013-01-15 |
| 1467615369 | Martis Chiropractic | Chiropractor | 1340 Park Avenue, Pekin, IL 61554-5082 | 2008-07-10 |
| 1801094651 | Donald Ray Gillison | Chiropractor | 408 S 1st St, Fairfield, IL 62837-2520 | 2007-07-03 |
| 1558570259 | Advantage Chiropractic | Chiropractor | 11824 Main St, Roscoe, IL 61073-9561 | 2007-05-21 |
| 1568679538 | Natural Chiropractic Healing | Chiropractor | 423u N. Bolingbrook Dr., Bolingbrook, IL 60440-1954 | 2007-05-17 |
| 1679792477 | Donald P. Mammano, D.c., S.c. | Chiropractor | 1304 Gemini Cir, Suite 2, Ottawa, IL 61350-1689 | 2007-04-24 |
| 1609900950 | Kiyoshi Gary Murakami | Chiropractor | 101 129th Infantry Dr., Joliet, IL 60435 | 2007-03-16 |
| 1467586750 | Healing Pathways, S.c. | Chiropractor | 23909 W. Renwick Rd. #113e., Plainfield, IL 60544-0989 | 2007-03-16 |
| 1659427284 | William Tortoriello, Ltd | Chiropractor | 39 E Hattendorf Ave, Suite 130, Roselle, IL 60172-1525 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
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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.