HEALTHY CONNECTION PHYSICAL MEDICINE INC (NPI# 1770860124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770860124 |
| Entity Type | Organization |
| Organization Name | HEALTHY CONNECTION PHYSICAL MEDICINE INC |
| Practice Address |
16626 W 159th St Suite700 Lockport IL 60441-8018 |
| Practice Telephone | 8158349075 |
| Practice Fax Number | 8158349077 |
| Mailing Telephone | 8158349075 |
| Mailing Fax Number | 8158349077 |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | VICTOR PUODZIUNAS (TREASURER) |
| Authorized Official Telephone | 8158349075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036126664 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
16626 W 159TH ST SUITE700 |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441-8018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064110 | Vida Puodziunas | Chiropractor | 16626 W 159th St, Suite 700, Lockport, IL 60441-8018 | 2005-06-28 |
| 1114381191 | Chijioke Jimonu | Nurse Practitioner | 16626 W 159th St, Suite 700, Lockport, IL 60441-8018 | 2016-04-06 |
| 1417268236 | Shark's Eye Establishment Corp. | Chiropractor | 16626 W 159th St, Suite 700, Lockport, IL 60441-8018 | 2010-06-25 |
| 1992994891 | Lockport Dialysis LLC | Clinic/Center | 16626 W 159th St, Ste 703, Lockport, IL 60441-8018 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912232331 | Brian Bruckner | General Practice | 16329 Weber Rd, Lockport, IL 60441-6558 | 2009-10-03 |
| 1598948267 | Ochsner Clinic LLC | General Practice | 1015 Crescent Ave, Lockport, LA 70374-2927 | 2007-12-17 |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
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| 1205393972 | Midwest Medical LLC | General Practice | 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 | 2019-02-28 |
| 1306311725 | Genesis Integrative Medicine LLC | General Practice | 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 | 2018-10-11 |
| 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.