DR. COLLEEN RENEE FAZIO (NPI# 1992039580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992039580 |
Entity Type | Individual |
Full Name | DR. COLLEEN RENEE FAZIO |
Credential | D.C. |
Practice Address |
365 E Bailey Rd Naperville IL 60565-1415 |
Mailing Address |
661 Lakewood Farms Dr Bolingbrook IL 60490-3170 |
Practice Telephone | 6305067758 |
Mailing Telephone | 9013356006 |
Enumeration Date | 2009-09-29 |
Last Update Date | 2015-10-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038.011411 | IL | Chiropractic Providers |
Street Address |
365 E BAILEY RD |
City | NAPERVILLE |
State | IL |
Zip Code | 60565-1415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831464247 | Ro Sports Chiropractic LLC | Chiropractor | 365 E Bailey Rd, Naperville, IL 60565-1415 | 2012-03-19 |
1720362106 | Energize Chiropractic, Prof Corp | Chiropractor | 365 E Bailey Rd, Naperville, IL 60565-1415 | 2011-10-04 |
1972883965 | Maplebrook Chiropractic LLC | Chiropractor | 365 E Bailey Rd, Naperville, IL 60565-1415 | 2011-08-22 |
1912204330 | Nadia Rachael Carpanzano | Chiropractor | 365 E Bailey Rd, Naperville, IL 60565-1415 | 2011-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851879225 | Rck Medical Services | Electrodiagnostic Medicine | 1837 Auburn Ave, Naperville, IL 60565 | 2018-07-30 |
1689058976 | Allison Hilger | Speech-Language Pathologist | 1633 Tulane Drive, Naperville, IL 60565 | 2015-07-16 |
1699179010 | Restoration Health & Chiropractic | Chiropractor | 365 E. Bailey Rd., Naperville, IL 60565 | 2014-10-14 |
1255612396 | Jennifer Jane Sommer | Dental Hygienist | 931 W. 75th St. #107, Center for Dentistry, Naperville, IL 60565 | 2011-09-02 |
1538455233 | Walgreen Co | Pharmacy | 1303 Wehrli Rd, Naperville, IL 60565 | 2011-06-22 |
1255623914 | Brady Drew Mcdaniel | Chiropractor | 519 West 87th Street, Naperville, IL 60565 | 2011-05-12 |
1821318759 | Mary Jane Verik | Dietitian, Registered | 2029 Mustang Dr., Naperville, IL 60565 | 2010-06-02 |
1184879942 | Kristie M. Johnson | Counselor | 1568 Clyde Dr., Naperville, IL 60565 | 2008-11-20 |
1063619302 | Rosita E Kilty | Counselor | 2272 95th Street, Suite 305, Naperville, IL 60565 | 2007-06-29 |
1922138544 | Richard Joseph Reid | Dentist | 523 W 87th St, Naperville, IL 60565 | 2007-03-06 |
Find all providers in zip 60565 |
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 |
---|---|---|---|---|
1265042022 | Naperville Chiropractic and Massage | Chiropractor | 47 E Chicago Ave Ste 332, Naperville, IL 60540-5360 | 2020-08-06 |
1083246110 | Dr. Leah Rose LLC | Chiropractor | 1100 Sherman Ave Ste 105, Naperville, IL 60563-4855 | 2020-02-06 |
1659914984 | Dr. Jess Enderby LLC | Chiropractor | 1415 Bond St Ste 171, Naperville, IL 60563-2769 | 2019-10-18 |
1518518380 | Claire Trafton | Chiropractor | 1767 W Ogden Ave Ste 143, Naperville, IL 60540-5008 | 2019-09-24 |
1982257150 | Susan Kennedy | Chiropractor | 1220 W Ogden Ave Ste D, Naperville, IL 60563-3977 | 2019-07-17 |
1770041022 | Austin Warden | Chiropractor | 2531 W 75th St Ste 2531d, Naperville, IL 60540-9000 | 2019-03-06 |
1699244848 | Advanced Sport and Wellness Ltd | Chiropractor | 1805 N Mill St Ste E, Naperville, IL 60563-4860 | 2018-11-16 |
1902312390 | Timothy Faulkner, Dc | Chiropractor | 500 E Ogden Ave Ste 100, Naperville, IL 60563-3264 | 2017-12-20 |
1740714450 | Elite Recovery Chiropractic | Chiropractor | 43 Glencoe Ct, 101a, Naperville, IL 60565-2100 | 2017-04-19 |
1861840464 | William Bolster | Chiropractor | 524 W 5th Ave, Naperville, IL 60563-2901 | 2016-05-25 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60565 |
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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.