MAIN STREET CHIROPRACTIC, P.C. (NPI# 1639394943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639394943 |
| Entity Type | Organization |
| Organization Name | MAIN STREET CHIROPRACTIC, P.C. |
| Practice Address |
23915 W Main St Suite D Plainfield IL 60544-1967 |
| Practice Telephone | 8152309070 |
| Practice Fax Number | 8152309334 |
| Mailing Telephone | 8152309070 |
| Mailing Fax Number | 8152309334 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT DAVID STUCK (OWNER) |
| Authorized Official Telephone | 8152309070 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 9932028 | 01 |
| Street Address |
23915 W MAIN ST SUITE D |
| City | PLAINFIELD |
| State | IL |
| Zip Code | 60544-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861475220 | Theresa M Baron | Physical Therapist | 23915 W Main St, Suite A & B, Plainfield, IL 60544-1967 | 2005-11-21 |
| 1558810002 | Michael Pietrantonio | Physical Therapist | 23915 W Main St, Suite A, Plainfield, IL 60544-1967 | 2016-09-26 |
| 1275089476 | Michael Julian Pangrcic | Chiropractor | 23915 W Main St, Plainfield, IL 60544-1967 | 2016-08-28 |
| 1598129538 | Jazmin Caballero | Specialist/Technologist | 23915 W Main St, Suite A, Plainfield, IL 60544-1967 | 2016-04-06 |
| 1205223781 | Main Street Chiropractic | Health Maintenance Organization | 23915 W Main St, Unit 103, Plainfield, IL 60544-1967 | 2015-04-22 |
| 1548667538 | Kristin Schaefer | Specialist/Technologist | 23915 W Main St, Suite C, Plainfield, IL 60544-1967 | 2014-11-19 |
| 1194132043 | Optimal Innate Life Energy Chiropractic PC | Chiropractor | 23915 W Main St, Suite D, Plainfield, IL 60544-1998 | 2014-07-11 |
| 1740592856 | Kyle E Turvey | Physical Therapist | 23915 W Main St, Suites A & B, Plainfield, IL 60544-1967 | 2010-07-06 |
| 1598907396 | Crystal S Gondalia | Occupational Therapist | 23915 W Main St, Suite C, Plainfield, IL 60544-1967 | 2009-03-25 |
| 1477704278 | Jerry Jurinek | Physical Therapist | 23915 W Main St, Suite A & B, Plainfield, IL 60544-1967 | 2008-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706371 | Rakhi Shingala | Counselor | Legacy Clinical Consultant, 13717 S. Route 30, 159, Naperville, IL 60544 | 2020-10-08 |
| 1548875446 | Michael T Liacone | Counselor | 13550 Lincoln Hwy, Plainfield, IL 60544 | 2020-09-09 |
| 1700388758 | Christina Sincora | Speech-Language Pathologist | 15730 Howard Street, Plainfield, IL 60544 | 2018-03-06 |
| 1770085250 | Carol Ann Sotir | Nurse Practitioner | 14404 S Maple Court, Plainfield, IL 60544 | 2018-03-01 |
| 1912409434 | Sandra Henderson | Counselor | 24044 W Main St, Plainfield, IL 60544 | 2018-02-28 |
| 1073024576 | Jamie Mirocha Inc. | Clinic/Center | 24012 W Renwick Road, Plainfield, IL 60544 | 2017-10-24 |
| 1114463502 | Karen Fagan | Nurse Practitioner | 500 N Weber Road, Romeoville, IL 60544 | 2017-01-10 |
| 1558812057 | Fresenius Medical Care Plainfield North, LLC | Clinic/Center | 24024 West Riverwalk Ct., Plainfield, IL 60544 | 2016-10-19 |
| 1790131936 | Plainfield Pediatric Dental Care PC | Preferred Provider Organization | 13621 S. Rt 59, Unit 101, Plainfield, IL 60544 | 2016-05-06 |
| 1598152753 | Lauren Beall | Pharmacist | 2480 Route 59, Plainfield, IL 60544 | 2015-04-24 |
| Find all providers in zip 60544 | ||||
| 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 |
|---|---|---|---|---|
| 1518500925 | Anna V Shelest | Chiropractor | 16521 Winding Creek Rd, Plainfield, IL 60586-9614 | 2019-10-18 |
| 1932672466 | Joshua Baker | Chiropractor | 16310 S Lincoln Hwy Ste 128, Plainfield, IL 60586-9064 | 2019-01-08 |
| 1245717537 | Antonio Franco | Chiropractor | 5012 Cambridge Way Ste 151, Plainfield, IN 46168-5699 | 2018-07-19 |
| 1356746861 | Murphy Chiropractic and Wellness Corp | Chiropractor | 13550 Rte 30, Ll 104, Plainfield, IL 60544 | 2014-10-27 |
| 1245664549 | Jeffrey Allen Neumann | Chiropractor | 24510 W Lockport St Ste 102, Plainfield, IL 60544-2312 | 2013-08-22 |
| 1871939165 | Robert Allan Aarestad Jr. | Chiropractor | 15041 S Van Dyke Rd Ste 101, Plainfield, IL 60544-5805 | 2013-05-14 |
| 1477890416 | Cassandra Leigh Ferguson | Chiropractor | 15041 S. Van Dyke Rd Suite 101, Pain & Wellness Group LLC, Plainfield, IL 60544 | 2013-01-10 |
| 1609131341 | Paul Mccarthy | Chiropractor | 13520 S Route 59, Suite 100, Plainfield, IL 60544-5545 | 2012-07-09 |
| 1720348428 | Robert J. Krause, D.c., P.C. | Chiropractor | 1729 E. Main Street, Plainfield, IN 46168 | 2012-05-29 |
| 1790083863 | Tina Slater | Chiropractor | 15300 S Route 59, Plainfield, IL 60544-3007 | 2011-03-14 |
| Find all providers in PLAINFIELD | ||||
| City | PLAINFIELD |
| Zip Code | 60544 |
Please comment or provide details below to improve the information on MAIN STREET CHIROPRACTIC, P.C..
| 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.