DR. SHANNON CATHERINE MABERRY (NPI# 1528330560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528330560 |
| Entity Type | Individual |
| Full Name | DR. SHANNON CATHERINE MABERRY |
| Credential | D.C. |
| Practice Address |
4742 Swan Rd Okawville IL 62271-1034 |
| Practice Telephone | 6188308601 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038012135 | IL | Chiropractic Providers |
| Street Address |
4742 SWAN RD |
| City | OKAWVILLE |
| State | IL |
| Zip Code | 62271-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154782530 | Okawville Family Care LLC | Nurse Practitioner | 207 E Belleville, Okawville, IL 62271 | 2016-03-14 |
| 1831430941 | Okawville Family Pharmacy, LLC | Pharmacy | 210 West High Street, Okawville, IL 62271 | 2013-03-14 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1194086157 | Pc Associates LLC | Family Medicine | 205 East Belleville Street, Okawville, IL 62271 | 2012-06-06 |
| 1174610026 | Okawville Pharmacy | Pharmacy | 403 N Hanover, Okawville, IL 62271 | 2006-10-10 |
| 1184619033 | Crossroads Physician Corporation | Family Medicine | 205 E Belleville, Okawville, IL 62271 | 2005-09-16 |
| 1497302616 | Zachary Yehling | Psychologist | 809 N Franklin St, Okawville, IL 62271-0009 | 2019-08-22 |
| 1407058910 | West Washington Co Cu Dist 10 | Local Education Agency (LEA) | 508 North Front Str, Okawville, IL 62271-0027 | 2007-06-05 |
| 1497167456 | Brammeier Chiropractic LLC | Chiropractor | 11503 State Route 177, Okawville, IL 62271-1311 | 2014-05-27 |
| 1073819496 | Tmrdlr LLC | Pharmacy | 403 N Hanover St, Okawville, IL 62271-1897 | 2011-02-02 |
| Find all providers in zip 62271 | ||||
| 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 |
|---|---|---|---|---|
| 1588087845 | Brandon Brammeier | Chiropractor | 11503 State Route 177, Okawville, IL 62271-3647 | 2014-01-22 |
| 1497167456 | Brammeier Chiropractic LLC | Chiropractor | 11503 State Route 177, Okawville, IL 62271-1311 | 2014-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 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.