DR. AMANDA LYNN BOSE (NPI# 1083096127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083096127 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LYNN BOSE |
| Other Name | DR. AMANDA LYNN PANUSKA |
| Credential | D.C. |
| Practice Address |
721 W Lake St Suite 201 Addison IL 60101-2035 |
| Practice Telephone | 2247300113 |
| Mailing Telephone | 2247300113 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038012737 | IL | Chiropractic Providers |
| N | 175F00000X | Naturopath | Other Service Providers |
| Street Address |
721 W LAKE ST SUITE 201 |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-2035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344114 | Jill Whelan | Nurse Practitioner | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2007-02-19 |
| 1952830200 | Brittney Ann Segoviano | Counselor | 721 W Lake St, Addison, IL 60101-2035 | 2017-06-09 |
| 1376096115 | Kathleen Marie Benson | Nurse Practitioner | 721 W Lake St, Addison, IL 60101-2035 | 2016-07-28 |
| 1538539234 | Natures Wellness Co | Chiropractor | 721 W Lake St, Suite 201, Addison, IL 60101-2035 | 2015-10-07 |
| 1962870543 | Margaret Kwiatkowski | Counselor | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2015-09-12 |
| 1275930521 | Behavioral Education and Treatment, Inc. | Community/Behavioral Health | 721 W Lake St, Suite 100, Addison, IL 60101-2035 | 2014-12-02 |
| 1962728386 | A To Z Pediatric and Youth Healthcare | Clinic/Center | 721 W Lake St, Suite 202, Addison, IL 60101-2035 | 2010-04-09 |
| 1821272659 | Robert A Massopust | Physical Therapist | 721 W Lake St, Suite 110, Addison, IL 60101-2035 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| 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 |
|---|---|---|---|---|
| 1285293910 | Chirocare Clinic Corporation | Chiropractor | 721 W Lake St Ste 201, Addison, IL 60101-2035 | 2019-06-06 |
| 1811421332 | Miranda Garcia | Chiropractor | 16901 Dallas Pkwy Ste 208, Addison, TX 75001-5235 | 2017-04-12 |
| 1710347398 | Bynum Chiropractic | Chiropractor | 4833 Keller Springs Rd, Addison, TX 75001-5912 | 2016-02-25 |
| 1265829063 | Next Level Wellness Center | Chiropractor | 15006 Beltway Dr, Addison, TX 75001-3709 | 2015-04-20 |
| 1356769152 | Courtney Gowin | Chiropractor | 4811 Broadway St Ste B, Addison, TX 75001-6504 | 2014-03-31 |
| 1851712327 | Lauren M Keller | Chiropractor | 1449 W Lake St, Suite B, Addison, IL 60101-1869 | 2013-12-30 |
| 1144507971 | Meghan N Mchan | Chiropractor | 4262 Kellway Cir, Addison, TX 75001-4232 | 2011-11-08 |
| 1174859573 | M.r. Family Ciropractic | Chiropractor | 15525 Spectrum Dr Apt 4735, Addison, TX 75001-6679 | 2009-10-20 |
| 1770735763 | Elizabeth H Pilicy | Chiropractor | 14673 Midway Rd Ste 105, Addison, TX 75001-3950 | 2008-10-21 |
| 1558582460 | David M Mullican | Chiropractor | 4021 Belt Line Rd, 201, Addison, TX 75001-4369 | 2007-05-01 |
| Find all providers in ADDISON | ||||
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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.