DR. MARANDA JOE HUMPHREYS (NPI# 1902403124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902403124 |
| Entity Type | Individual |
| Full Name | DR. MARANDA JOE HUMPHREYS |
| Credential | DC |
| Practice Address |
2150 Manchester Rd Ste 100 Wheaton IL 60187-2474 |
| Practice Telephone | 6308688480 |
| Mailing Telephone | 6308688480 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013607 | IL | Chiropractic Providers |
| Street Address |
2150 MANCHESTER RD STE 100 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| 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 |
|---|---|---|---|---|
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1174082853 | Mcandrews Chiropractic Clinic LLC | Chiropractor | 1275 Butterfield Rd Ste 110, Wheaton, IL 60189-8849 | 2019-03-13 |
| 1902382500 | Functional Medicine Insttitute,s.c. | Chiropractor | 1751 S Naperville Rd Ste 205, Wheaton, IL 60189-5896 | 2018-07-17 |
| 1871006676 | Pathways To Health & Wellness, LLC | Chiropractor | 600 S County Farm Rd, Wheaton, IL 60187-4560 | 2017-11-15 |
| 1114455995 | Karen Lynn Sedore | Chiropractor | 51 Kensington Cir Apt 108, Wheaton, IL 60189-2956 | 2017-05-24 |
| 1508300930 | Nelli Kaplunskaya | Chiropractor | 250 S Naperville Rd, Unit 207, Wheaton, IL 60187-5491 | 2016-12-04 |
| 1841675493 | Boyd Chiropractic and Rehab LLC | Chiropractor | 923 E Roosevelt Rd, Wheaton, IL 60187-5650 | 2015-07-24 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1154724755 | Vlasov Chiropractic Inc | Chiropractor | 1445 S Lorraine Rd, Apt 211, Wheaton, IL 60189-7075 | 2014-09-27 |
| 1932539863 | David Demoulin | Chiropractor | 11 Danada Sq E, Wheaton, IL 60189-8484 | 2013-11-13 |
| Find all providers in WHEATON | ||||
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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.