Jeremy A Gunderson (NPI# 1982715488, PAC ID# 7113190752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1982715488 |
| PAC ID by PECOS | 7113190752 |
| Professional Enrollment ID | I20111027000232 |
| Full Name | Jeremy A Gunderson |
| Organization Legal Name | GUNDERSON CLINIC OF CHIROPRACTIC INC. |
| Address |
506 S Blackhawk Blvd Rockton IL 61072-2908 |
| Phone Number | 8156242669 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2365530557 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 506 S Blackhawk Blvd, Rockton, IL 61072-2908 | 8156242669 | GUNDERSON CLINIC OF CHIROPRACTIC INC. |
| Organization Legal Name | GUNDERSON CLINIC OF CHIROPRACTIC INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight C Gunderson | Chiropractic | Gunderson Clinic of Chiropractic Inc. | 506 S Blackhawk Blvd, Rockton, IL 61072-2908 |
| Rhett C Gunderson | Chiropractic | Gunderson Clinic of Chiropractic Inc. | 506 S Blackhawk Blvd, Rockton, IL 61072-2908 |
| Street Address |
506 S BLACKHAWK BLVD |
| City | ROCKTON |
| State | IL |
| Zip | 61072-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight C Gunderson | Chiropractic | Gunderson Clinic of Chiropractic Inc. | 506 S Blackhawk Blvd, Rockton, IL 61072-2908 |
| Rhett C Gunderson | Chiropractic | Gunderson Clinic of Chiropractic Inc. | 506 S Blackhawk Blvd, Rockton, IL 61072-2908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy A Stear | Psychologist, Clinical | 1047 Cannell Ct, Rockton, IL 61072-1596 | |
| James A Fogarty | Clinical Psychologist | 122 S Prairie St, Suite A, Rockton, IL 61072-2401 | |
| Shelly L Patchett | Clinical Social Worker | 222 W Main St, Rockton, IL 61072-2419 | |
| Brandi M Lander | Clinical Social Worker | 222 W Main St, Rockton, IL 61072-2419 | |
| Deanna M Longley | Physical Therapy | Rockford Orthopedic Associates, Ltd. | 330 E Main St, Rockton, IL 61072-2501 |
| City | ROCKTON |
| Zip Code | 61072 |
| Specialty | CHIROPRACTIC |
| City + Specialty | ROCKTON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jeremy A Gunderson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.