DR. KARLA J BYRD (NPI# 1033282371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033282371 |
Entity Type | Individual |
Full Name | DR. KARLA J BYRD |
Credential | D.C. |
Practice Address |
109 S Franklin Ave Polo IL 61064-1713 |
Practice Telephone | 8159469977 |
Mailing Telephone | 8159469977 |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038006538 | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BLUE CROSS OF IL | 07130356 | 01 |
Street Address |
109 S FRANKLIN AVE |
City | POLO |
State | IL |
Zip Code | 61064-1713 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144305368 | Polo Chiropractic Center P C | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-10-26 |
1952474207 | Robert Keith Webb | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225088172 | Henry Oh | Family Medicine | 711 Division St., Polo, IL 61064 | 2006-05-11 |
1669443966 | Debra C Drengenberg | Family Medicine | 1107 S. Division Ave., Ksb Center for Health Services/polo, Polo, IL 61064 | 2006-01-27 |
1689024853 | Jeanette M Trotter | Counselor | 115 W Mason St Ste 201, Polo, IL 61064-1501 | 2016-06-17 |
1174096028 | Polo Pharmacy, Inc. | Pharmacy | 111 E Mason St, Polo, IL 61064-1521 | 2019-01-03 |
1023154630 | Felker Pharmacy Inc | Pharmacy | 110 E Mason St, Polo, IL 61064-1522 | 2007-01-30 |
1295732360 | Mid Americacare Foundation | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2005-07-05 |
1912546847 | Polo Hco LLC | Skilled Nursing Facility | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-12-23 |
1275184624 | Karen Sue Williams | Physical Therapy Assistant | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-09-26 |
1164083630 | Karina Nehrkorn | Speech-Language Pathologist | 703 E Buffalo St, Polo, IL 61064-1701 | 2019-06-25 |
1972093292 | Mubaraka Bootwala | Occupational Therapist | 703 E Buffalo St, Polo, IL 61064-1701 | 2018-05-11 |
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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 |
---|---|---|---|---|
1144305368 | Polo Chiropractic Center P C | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-10-26 |
1952474207 | Robert Keith Webb | Chiropractor | 109 S Franklin Ave, Polo, IL 61064-1713 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
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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.