PROACTIVE NATURAL MEDICINE, LTD (NPI# 1063439768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063439768 |
| Entity Type | Organization |
| Organization Name | PROACTIVE NATURAL MEDICINE, LTD |
| Practice Address |
5929 N Mobile Ave Chicago IL 60646-5330 |
| Practice Telephone | 7735736348 |
| Mailing Telephone | 7735736348 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PAUL MATTHEW MIKULSKI (PRESIDENT) |
| Authorized Official Telephone | 7735736348 |
| Authorized Official Credential | D.C., C.C.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN1001X |
Chiropractor Specialization: Nutrition |
IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 01635895 | 01 |
| Street Address |
5929 N MOBILE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376564807 | Paul Matthew Mikulski | Chiropractor | 5929 N Mobile Ave, Chicago, IL 60646-5330 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| Taxonomy Code | 111NN1001X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Nutrition |
| Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient’s prescription and over the counter medications are recorded and analyzed. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901906 | Chicago Natural Health Care | Chiropractor | 3432 W Diversey Ave Ste 253, Chicago, IL 60647-1221 | 2018-08-13 |
| 1396137816 | Stephen Justin Smitherman | Chiropractor | 2124 W Erie St Apt 1r, Chicago, IL 60612 | 2015-02-19 |
| 1447685052 | Active Wellness LLC | Chiropractor | 338 E Ohio, Chicago, IL 60611 | 2013-09-13 |
| 1891120408 | Active Wellness LLC | Chiropractor | 560 W Diversey Pkwy, Chicago, IL 60614 | 2013-09-13 |
| 1841637022 | Diane Elizabeth Petrow | Chiropractor | 1211 N La Salle Dr, Chicago, IL 60610-1927 | 2013-05-29 |
| 1902162662 | Active Wellness, LLC | Chiropractor | 4555 N Lincoln Ave, Chicago, IL 60625-2102 | 2012-04-06 |
| 1386924652 | Thedr.com | Chiropractor | 6749 N Lakewood Ave, Suite 3-n, Chicago, IL 60626-4335 | 2011-08-18 |
| 1962647792 | Fuller Health Group LLC | Chiropractor | 12 W Maple St, Chicago, IL 60610-4691 | 2008-12-08 |
| 1942320585 | Elissa Jo Grossman | Chiropractor | 407 W North Ave, Chicago, IL 60610-1189 | 2007-03-29 |
| 1962514513 | Initium Inc. | Chiropractor | 1445 N State Pkwy, 1207, Chicago, IL 60610-1565 | 2006-08-31 |
| Find all providers in CHICAGO | ||||
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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.