FAIRBURY CHIROPRACTIC CLINIC PC (NPI# 1568865707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568865707 |
| Entity Type | Organization |
| Organization Name | FAIRBURY CHIROPRACTIC CLINIC PC |
| Practice Address |
401 S Clay St Fairbury IL 61739-1481 |
| Practice Telephone | 8156922373 |
| Practice Fax Number | 8156922374 |
| Mailing Telephone | 8156922373 |
| Mailing Fax Number | 8156922374 |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | DR. SCOTT J NOWAK (PRESIDENT) |
| Authorized Official Telephone | 8156922373 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038007108 | IL | Chiropractic Providers |
| Street Address |
401 S CLAY ST |
| City | FAIRBURY |
| State | IL |
| Zip Code | 61739-1481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073520334 | Scott John Nowak | Chiropractor | 401 S Clay St, Fairbury, IL 61739-1481 | 2006-08-01 |
| 1649436098 | Rachel Marie Wenger | Family Medicine | 401 S Clay St, Fairbury, IL 61739-1481 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1316101025 | Tracy Neal Taylor | Dentist | 202 East Locust Street, Fairbury, IL 61739 | 2008-07-11 |
| 1154491884 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 902 E Oak St, Fairbury, IL 61739 | 2006-11-09 |
| 1255748745 | Brenton Waystout | Nurse Practitioner | 115 E Walnut St, Fairbury, IL 61739 | 2014-07-16 |
| 1740354117 | Henry John Handler | Dentist | 110 N 2nd St, Fairbury, IL 61739-1116 | 2006-11-20 |
| 1033687843 | Nu-atrics: Pediatric Nutrition & Wellness LLC | Durable Medical Equipment & Medical Supplies | 211 W Willow St, Fairbury, IL 61739-1172 | 2018-11-09 |
| 1114987161 | Fairview Haven Inc | Skilled Nursing Facility | 605 N 4th St, Fairbury, IL 61739-1210 | 2006-03-24 |
| 1336306570 | Prairie Central Cusd No 8 | Local Education Agency (LEA) | 605 N 7th St, Fairbury, IL 61739-1300 | 2008-05-16 |
| 1114313467 | Champion Fitness, Inc | Clinic/Center | 902 E Oak St Ste 3, Fairbury, IL 61739-1301 | 2015-04-14 |
| 1659704740 | Julie Patten | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2013-08-13 |
| Find all providers in zip 61739 | ||||
| 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 |
|---|---|---|---|---|
| 1124105200 | David E Janecek | Chiropractor | 109 W Walnut St, Fairbury, IL 61739-1572 | 2006-11-01 |
| 1073520334 | Scott John Nowak | Chiropractor | 401 S Clay St, Fairbury, IL 61739-1481 | 2006-08-01 |
| 1821015884 | Tatro Chiropractic PC | Chiropractor | 425 D St, Fairbury, NE 68352 | 2006-07-16 |
| 1619944691 | Jeffrey Alan Botz | Chiropractor | 925 14th St, Fairbury, NE 68352-1603 | 2006-03-08 |
| 1942503370 | Janecek Chiropractic Clinic | Chiropractor | 109 W Walnut St, Fairbury, IL 61739-1557 | 2010-12-07 |
| 1629370606 | Antonio Salinas Jr. | Chiropractor | 109 W Walnut St, Fairbury, IL 61739-1557 | 2010-11-24 |
| 1942401393 | Thayne A. Tatro | Chiropractor | 425 D St, Fairbury, NE 68352-2534 | 2007-05-31 |
| 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.