DR. JESSE BOELTER (NPI# 1497110902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497110902 |
| Entity Type | Individual |
| Full Name | DR. JESSE BOELTER |
| Credential | D.C. |
| Practice Address |
1680 Mediterranean Dr Sycamore IL 60178-3154 |
| Practice Telephone | 8158996061 |
| Mailing Telephone | 8158996061 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.012502 | IL | Chiropractic Providers |
| Street Address |
1680 MEDITERRANEAN DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841493111 | Sycamore Service Corporation | Chiropractor | 1680 Mediterranean Dr, Unit 101, Sycamore, IL 60178-3142 | 2007-06-06 |
| 1922360452 | Jeremy Eugene Meyer | Chiropractor | 1680 Mediterranean Dr, Suite 101, Sycamore, IL 60178-3142 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1871952473 | Ryan Friel | Chiropractor | 2535 Bethany Rd Ste 100, Sycamore, IL 60178-3126 | 2016-02-11 |
| 1043615602 | Heather Winnan | Chiropractor | 1225 E State St, Sycamore, IL 60178-9502 | 2014-10-24 |
| 1942547229 | Sycamore Integrated Health, Ltd | Chiropractor | 920 W Prairie Dr Ste J, Sycamore, IL 60178-3123 | 2013-01-07 |
| 1043500309 | Allergies, Aches & Pains Chiro & Accupuncture Center Ltd | Chiropractor | 130 Fair St, Sycamore, IL 60178-1640 | 2011-04-07 |
| 1972706844 | Gregory Cherne | Chiropractor | 316 Kishwaukee Dr, Sycamore, IL 60178-1913 | 2007-06-07 |
| 1841493111 | Sycamore Service Corporation | Chiropractor | 1680 Mediterranean Dr, Unit 101, Sycamore, IL 60178-3142 | 2007-06-06 |
| 1780802868 | Kimberly Selir | Chiropractor | 806 Dekalb Ave #2, Sycamore, IL 60178-2050 | 2007-04-23 |
| 1023140696 | Family Wellness & Rehab Sc | Chiropractor | 806 Dekalb Ave, Sycamore, IL 60178-2050 | 2007-03-09 |
| 1619038064 | Edwin Bush Jr. | Chiropractor | 2900 Dekalb Ave, Sycamore, IL 60178 | 2006-12-12 |
| 1962581710 | David G Andrews | Chiropractor | 310 E State St, Suite 1, Sycamore, IL 60178-1560 | 2006-11-03 |
| Find all providers in SYCAMORE | ||||
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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.