ANTONIO MANUEL MEDINA TREVINO (NPI# 1487201109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487201109 |
| Entity Type | Individual |
| Full Name | ANTONIO MANUEL MEDINA TREVINO |
| Credential | DC |
| Practice Address |
225 W Hubbard St Ste 302 Chicago IL 60654-4916 |
| Practice Telephone | 3122162447 |
| Mailing Telephone | 3122162447 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0900X |
Chiropractor Specialization: Internist |
38.013414 | IL | Chiropractic Providers |
| Street Address |
225 W HUBBARD ST STE 302 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-4916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265985303 | Joseph L Glowiak | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2016-07-25 |
| 1568062404 | Mathabeng Kheko Lewis | Dietitian, Registered | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2020-10-29 |
| 1588270227 | Alexandra Mackillop | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2020-09-18 |
| 1891306338 | Meredith Fisher | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2020-08-10 |
| 1881211837 | Katherine Jean Emrich | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2020-06-25 |
| 1154951424 | Miguel Bunker-huertas | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2020-01-24 |
| 1487290946 | Bianca Catalano | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2019-11-20 |
| 1255975215 | Jonathan Klopcic | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2019-11-03 |
| 1649814781 | Thomas Klopcic | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2019-11-01 |
| 1649832809 | Keya M Gordon | Chiropractor | 225 W Hubbard St Ste 302, Chicago, IL 60654-4916 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 111NI0900X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Internist |
| The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. A chiropractic internist utilizes the diagnostic instruments necessary for proper examination. In cases where laboratory examination is necessary, a chiropractic internist utilizes a recognized reference laboratory facility. A chiropractic internist may manage his or her own cases or may refer to another specialist when prudent to do so. The chiropractic internist utilizes documented natural therapies, therapeutic lifestyle changes, patient education and other resources to promote patient health and avoidance of disease. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352407 | Joel Edward Kiselka | Chiropractor | 1406 W Chicago Ave, Chicago, IL 60642-5479 | 2020-09-23 |
| 1265569495 | Max Nicholas Lazarowich | Chiropractor | 1923 W Irving Park Rd, Chicago, IL 60613-2407 | 2007-02-27 |
| 1720120876 | Nicholas Roger Leroy | Chiropractor | 1002 W. Lake Street, Chicago, IL 60607 | 2007-02-13 |
| 1699854778 | Cynthia Jaffe | Chiropractor | 3940 N Ravenswood Ave, Chicago, IL 60613-2420 | 2006-11-02 |
| 1336166164 | Ilze Liepins | Chiropractor | 1605 S Michigan Avenue, Chicago, IL 60616 | 2006-07-16 |
| 1750378006 | Rolande D Balan | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2005-10-03 |
| 1831596980 | Monica Cisneros | Chiropractor | 2859 S Pulaski Rd, Chicago, IL 60623-5095 | 2014-12-04 |
| 1093059107 | River Point Natural Health | Chiropractor | 2435 N Ashland Ave, 2nd Floor, Chicago, IL 60614-2032 | 2012-11-15 |
| 1215944756 | Allyne R Rosenthal | Chiropractor | 122 S Michigan Ave, Suite 1560, Chicago, IL 60603-6191 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922465251 | Brittany Marie Parisot-sebby | Chiropractor | 8706 Oakwood Dr, Village of Lakewood, IL 60014-5132 | 2016-01-17 |
| 1437573839 | York Chiropractic Clinic PC | Chiropractor | 486 S Spring Rd, Elmhurst, IL 60126-3858 | 2014-02-06 |
| 1942640479 | Bodies In Balance Whole Health, LLC | Chiropractor | 3100 Dundee Rd Ste 504, Northbrook, IL 60062-2449 | 2013-06-28 |
| 1801154356 | Kendall David Gregory | Chiropractor | 462 S President St, Unit 303, Carol Stream, IL 60188-3221 | 2012-05-02 |
| 1285909200 | Rockford Wellness Corporation Sc | Chiropractor | 6019 Fincham Road, Rockford, IL 61108 | 2012-03-09 |
| 1023396744 | Life Wellness Clinic, Inc. | Chiropractor | 2037 Milwaukee Ave, Riverwoods, IL 60015-3581 | 2011-07-29 |
| 1568760759 | Graun Chiropractic Clinic | Chiropractor | 6428 S Cass Ave, Westmont, IL 60559-3209 | 2011-03-11 |
| 1083924641 | Preety Pratik Shah | Chiropractor | 1736 Ariana Dr, Bartlett, IL 60103-2314 | 2010-10-18 |
| 1093949059 | Ross Chiropractic LLC | Chiropractor | 474 Central Ave, Suite Ll#3, Highland Park, IL 60035-2680 | 2009-05-06 |
| 1447496179 | Moon-hong Doh | Chiropractor | 2037 Milwaukee Ave., Riverwoods, IL 60015 | 2008-12-30 |
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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.