DR. JEFFREY M C WONG (NPI# 1508866500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508866500 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M C WONG |
| Credential | D.C. |
| Practice Address |
2560 Foxfield Rd Suite 140 St Charles IL 60174-1488 |
| Mailing Address |
301 Carrie Ct North Aurora IL 60542-9096 |
| Practice Telephone | 6305848729 |
| Practice Fax Number | 8554427883 |
| Mailing Telephone | 6305848729 |
| Mailing Fax Number | 8554427883 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2015-06-22 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
038-007475 | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033455027 | Jeffrey Wong | Occupational Therapist | 3051 Watson Blvd Ste 525, Warner Robins, GA 31093-8556 | 2012-12-19 |
| 1164790507 | Jeffrey Wong | Orthopaedic Surgery | 18785 Brookhurst St Ste 100, Fountain Valley, CA 92708-7300 | 2011-12-13 |
| 1013184498 | Jeffrey Y Wong | Dentist | 200 Brown Rd Ste 202, Fremont, CA 94539-7957 | 2008-05-14 |
| 1508933763 | Jeffrey C.m. Wong | Obstetrics & Gynecology | 4643b Waimea Canyon Dr., Waimea, HI 96796 | 2006-11-30 |
| 1720087315 | Jeffrey Alan Wong | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2005-07-18 |
| 1922619139 | Jeffrey Hu Wong | Acupuncturist | 1530 S Union Ave Ste 4, Tacoma, WA 98405-1954 | 2020-08-11 |
| 1386136331 | Jeffrey Wong | Chiropractor | 1609 Meridian Ave, San Jose, CA 95125-5532 | 2018-06-05 |
| 1043691181 | Jeffrey Ling-yi Wong | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2015-06-15 |
| 1518271089 | Jeffrey Wong | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2010-07-27 |
| 1578893368 | Jeffrey J Wong | Physician Assistant | 259 E Erie St, 13th Floor, Chicago, IL 60611-2987 | 2009-12-30 |
| Street Address |
2560 FOXFIELD RD SUITE 140 |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60174-1488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093836827 | Fox Prairie Medical Group P C | Internal Medicine | 2560 Foxfield Rd, Suite 160, St Charles, IL 60174-5797 | 2007-04-02 |
| 1619092905 | Kyle E Pedersen | Dentist | 2560 Foxfield Rd, Suite 190, St Charles, IL 60174-5797 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 1861562175 | Greater Valley Medicine | Chiropractor | 2900 Foxfield Rd, Suite 307, St Charles, IL 60174-5799 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356824601 | Evanston Spine and Rehab P.C. | Chiropractor | 1325 Howard St Ste 309, Evanston, IL 60202-3788 | 2018-09-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ST CHARLES |
| Zip Code | 60174 |
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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.