DR. JONATHAN DAVID DIAZ (NPI# 1861660102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861660102 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID DIAZ |
| Credential | D.C. |
| Practice Address |
607 W Oak St West Frankfort IL 62896-2561 |
| Mailing Address |
805 N Main St Benton IL 62812-1019 |
| Practice Telephone | 6184352500 |
| Mailing Telephone | 6184352500 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699101246 | Jonathan Diaz | Physical Therapy Assistant | 13552 Nw 7th St, Pembroke Pines, FL 33028-3140 | 2013-09-15 |
| 1962023275 | Jonathan Diaz | Student in an Organized Health Care Education/Training Program | 1403 Lomita Blvd Ste 102, Harbor City, CA 90710-2084 | 2020-04-28 |
| 1245716935 | Jonathan Diaz | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2018-07-16 |
| 1730537838 | Jonathan Diaz | Physical Therapy Assistant | 8730 Santa Monica Blvd Ste G, West Hollywood, CA 90069-4547 | 2016-05-30 |
| 1578856159 | Jonathan R Diaz | Psychiatry & Neurology | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2011-05-16 |
| Street Address |
607 W OAK ST |
| City | WEST FRANKFORT |
| State | IL |
| Zip Code | 62896-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831299601 | Cheryl A Herron | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2006-09-22 |
| 1649764697 | Moffett Chiropractic | Chiropractor | 607 W Oak St, West Frankfort, IL 62896 | 2018-06-21 |
| 1841693140 | Cacie Walton | Specialist | 607 W Oak St, West Frankfort, IL 62896-2537 | 2014-09-30 |
| 1992108567 | Pansy Ramsey | Specialist | 607 W Oak St, West Frankfort, IL 62896-2537 | 2014-09-26 |
| 1447561196 | Cynthia S. Weiss | Physical Therapist | 607 W Oak St, West Frankfort, IL 62896-2537 | 2010-06-28 |
| 1154644789 | Matthew Lee Morris | Occupational Therapist | 607 W Oak St, West Frankfort, IL 62896-2537 | 2010-03-10 |
| 1710110861 | Herron Rehab and Wellness Center, S.c. | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2009-08-24 |
| 1134374069 | Mrm Chiropractic LLC | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2561 | 2008-11-19 |
| 1316107279 | Michelle D. Marvel | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2008-06-13 |
| 1669645156 | Franklin County Chiropractic Center,s.c. | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2561 | 2008-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417468406 | Desrie Dawn Farley | Psychologist | 508 East Main, West Frankfort, IL 62896 | 2017-10-17 |
| 1205346657 | Erin Hutchinson | Speech-Language Pathologist | 1401 W Sixth St, West Frankfort, IL 62896 | 2017-10-11 |
| 1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
| 1629321922 | Sage Psychiatry LLC | Psychiatry & Neurology | 410 W St Louis Street, West Frankfort, IL 62896 | 2012-10-24 |
| 1497907737 | Angela H Henson | Physician Assistant | 310 West St. Louis Street, West Frankfort, IL 62896 | 2008-10-17 |
| 1881884187 | Homestead House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 North Jefferson, West Frankfort, IL 62896 | 2007-08-01 |
| 1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
| 1437212016 | National Assistance Bureau, Inc. | Skilled Nursing Facility | Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 | 2006-12-18 |
| 1922176171 | Sebastian John Pagano | Dentist | 208 North Ida, West Frankfort, IL 62896 | 2006-12-04 |
| 1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
| Find all providers in zip 62896 | ||||
| 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 |
|---|---|---|---|---|
| 1679620082 | Joseph Todd Moore | Chiropractor | 225 S Parkhill St, West Frankfort, IL 62896-2556 | 2007-01-05 |
| 1841360864 | Stephen Douglas Leek | Chiropractor | 607 West Oak, West Frankfort, IL 62896-2537 | 2006-11-08 |
| 1831299601 | Cheryl A Herron | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2006-09-22 |
| 1376559062 | John Alan Nolen | Chiropractor | 107 S Van Buren St, West Frankfort, IL 62896-2907 | 2006-08-01 |
| 1649764697 | Moffett Chiropractic | Chiropractor | 607 W Oak St, West Frankfort, IL 62896 | 2018-06-21 |
| 1710110861 | Herron Rehab and Wellness Center, S.c. | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2009-08-24 |
| 1134374069 | Mrm Chiropractic LLC | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2561 | 2008-11-19 |
| 1316107279 | Michelle D. Marvel | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2008-06-13 |
| 1669645156 | Franklin County Chiropractic Center,s.c. | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2561 | 2008-04-07 |
| 1144373010 | Martin R Moffett | Chiropractor | 607 W Oak St, West Frankfort, IL 62896-2537 | 2007-01-22 |
| Find all providers in WEST FRANKFORT | ||||
| City | WEST FRANKFORT |
| Zip Code | 62896 |
Please comment or provide details below to improve the information on DR. JONATHAN DAVID DIAZ.
| 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.