DR. FAROOK MUHIUDDIN (NPI# 1083623615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083623615 |
| Entity Type | Individual |
| Full Name | DR. FAROOK MUHIUDDIN |
| Credential | D.C |
| Practice Address |
340 S Fillmore St Edwardsville IL 62025-2115 |
| Mailing Address |
38 Cobblestone Ln Glen Carbon IL 62034-1496 |
| Practice Telephone | 6186929763 |
| Practice Fax Number | 6186929772 |
| Mailing Telephone | 6186929763 |
| Mailing Fax Number | 6186929772 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UNITED HEALTHCARE | 672256 | 01 |
| IL | CIGNA | 9516006 | 01 |
| MO | BCBS | 202370 | 01 |
| IL | MEDICARE RAILROAD | P00264483 | 01 |
| IL | BCBS | 06032164 | 01 |
| IL | HEALTHLINK | 719909 | 01 |
| IL | FIRST HEALTH | 5675679 | 01 |
| Street Address |
340 S FILLMORE ST |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689642951 | David M Thayer | Chiropractor | 340 S Fillmore St, Edwardsville, IL 62025-2115 | 2006-03-10 |
| 1639533904 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 340 S Fillmore St, Edwardsville, IL 62025-2115 | 2016-04-12 |
| 1952761579 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 340 S Fillmore St, Edwardsville, IL 62025-2115 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| 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 |
|---|---|---|---|---|
| 1578191953 | Ravi Vinubhai Patel | Chiropractor | 115 Homestead Ct, Edwardsville, IL 62025-5545 | 2020-03-31 |
| 1831735521 | Chiro One Wellness Center of Edwardsville, LLC | Chiropractor | 6654 Edwardsville Crossing Dr Ste H, Edwardsville, IL 62025-2706 | 2019-11-18 |
| 1699320879 | Pablo Orozco | Chiropractor | 503 E Vandalia St, Edwardsville, IL 62025-1893 | 2019-08-05 |
| 1699232637 | Integrative Performance Medical Group, Pllc | Chiropractor | 200 S Buchanan St, Edwardsville, IL 62025-2109 | 2019-02-26 |
| 1114475290 | Nicholas Morey Rozell | Chiropractor | 1254 University Dr Ste 120, Edwardsville, IL 62025-5583 | 2016-09-16 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1376930305 | Select Spine & Rehab LLC | Chiropractor | 4 157 Ctr, Edwardsville, IL 62025-3657 | 2015-04-16 |
| 1457786766 | Daniel Lewis Strom | Chiropractor | 10601 Kaw Dr Ste 3-c, Edwardsville, KS 66111-1130 | 2013-09-05 |
| 1003154378 | Jacob M Funk, LLC | Chiropractor | 1409 Troy Rd, Edwardsville, IL 62025-2532 | 2013-01-22 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
Please comment or provide details below to improve the information on DR. FAROOK MUHIUDDIN.
| 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.