SPRING GROVE MEDICAL OFFICES LTD (NPI# 1740332592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740332592 |
| Entity Type | Organization |
| Organization Name | SPRING GROVE MEDICAL OFFICES LTD |
| Practice Address |
2100 Route 12 Suite 101 Spring Grove IL 60081 |
| Practice Telephone | 8156750675 |
| Mailing Telephone | 8156750675 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | RALPH DESTEPHANO (PRESIDENT) |
| Authorized Official Telephone | 8156750675 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-007206 | IL | Chiropractic Providers |
| Street Address |
2100 ROUTE 12 SUITE 101 |
| City | SPRING GROVE |
| State | IL |
| Zip Code | 60081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669652897 | Spring Grove Physical Therapy Ltd | Physical Therapist | 2100 Route 12, Suite101, Spring Grove, IL 60081 | 2007-11-05 |
| 1306970132 | Jenny Robbins | Physical Therapist | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-03-15 |
| 1851443618 | Spring Grove Physical Medicine and Rehabilatation Ltd | Chiropractor | 2100 Route 12, Suite 101, Spring Grove, IL 60081 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497952618 | Quazi Mobile Imaging and Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7102 Daily St, Spring Grove, IL 60081 | 2007-06-29 |
| 1083828370 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2401 Route 12, Spring Grove, IL 60081 | 2007-05-09 |
| 1548389414 | Brian Rybicki | Dentist | 2450 Route 12, Spring Grove, IL 60081 | 2007-03-29 |
| 1457457848 | Marie Claire Yvo Garduque | Physical Therapist | 1906 Holian Drive, Spring Grove, IL 60081 | 2006-09-15 |
| 1053429670 | Ralph Destephano | Chiropractor | 2100 N Us Hwy 12, Suite 101, Spring Grove, IL 60081 | 2006-08-25 |
| 1689289407 | Nadine Panagakis | Pharmacist | 2401 Route 12, Spring Grove, IL 60081 | 2020-09-09 |
| 1225106495 | Kyle Lynn Beres | Physical Therapist | 1906 Holian Drive, Spring Grove, IL 60081 | 2006-12-04 |
| 1861416687 | Nancy Peterson Walz | Social Worker | 2502 Spring Ridge Dr, Ste F, Spring Grove, IL 60081-7812 | 2006-07-26 |
| 1639297765 | Baby Steps Therapy P.C. | Physical Therapist | 10814 E Riviera Dr, Spring Grove, IL 60081-7813 | 2007-03-27 |
| 1578783056 | Cindy Leprich-gort | Physical Therapist | 10814 E Riviera Dr, Spring Grove, IL 60081-7813 | 2007-04-26 |
| Find all providers in zip 60081 | ||||
| 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 |
|---|---|---|---|---|
| 1134402977 | Yuka Ryan | Chiropractor | 4005 May Ln, Spring Grove, IL 60081-8615 | 2011-09-27 |
| 1477741262 | Michael Eric Udo | Chiropractor | 515 Lakeview Dr, Spring Grove, PA 17362-8449 | 2007-10-05 |
| 1336272392 | John David Booman | Chiropractor | 102 1st St Se, Spring Grove, MN 55974 | 2007-03-13 |
| 1649366485 | Booman Chiropractic Corporation | Chiropractor | 102 1st Street Se, Spring Grove, MN 55974 | 2006-10-05 |
| 1013025824 | Darrin R Foszcz | Chiropractor | 2207 N Us Highway 12, Suite E, Spring Grove, IL 60081-9706 | 2006-08-29 |
| 1053429670 | Ralph Destephano | Chiropractor | 2100 N Us Hwy 12, Suite 101, Spring Grove, IL 60081 | 2006-08-25 |
| 1932214665 | Sonia Kwapisinski | Chiropractor | 2900 N Us Highway 12, Suite J, Spring Grove, IL 60081-8322 | 2006-08-21 |
| 1245256338 | Natalie J Frobish | Chiropractor | 2900 N. Us Highway 12, Suite J, Spring Grove, IL 60081-8322 | 2006-07-14 |
| 1306084314 | Spring Grove Family Chiropractic, Pa | Chiropractor | 102 1st St Se, Spring Grove, MN 55974 | 2009-01-29 |
| 1164647442 | Discover Chiropractic Health Center Ltd | Chiropractor | 2207 N Us Highway 12, Suite E, Spring Grove, IL 60081-9706 | 2007-04-13 |
| Find all providers in SPRING GROVE | ||||
| City | SPRING GROVE |
| Zip Code | 60081 |
Please comment or provide details below to improve the information on SPRING GROVE MEDICAL OFFICES LTD.
| 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.