DR. JILL BALLA SHAW (NPI# 1083734727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083734727 |
| Entity Type | Individual |
| Full Name | DR. JILL BALLA SHAW |
| Credential | D.C. |
| Practice Address |
38377 N Drexel Blvd Antioch IL 60002-9778 |
| Practice Telephone | 8478382611 |
| Practice Fax Number | 8478382623 |
| Mailing Telephone | 8478382611 |
| Mailing Fax Number | 8478382623 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2301009331 | MI | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366953721 | Jill Marie Shaw | Specialist | 1009 E. Eldorado St., Decatur, IL 62522-9023 | 2017-10-12 |
| 1770576340 | Jill Marie Shaw | Obstetrics & Gynecology | 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222-2237 | 2005-08-29 |
| 1891239760 | Jill Shaw | Specialist | 610 S Burdick St, Kalamazoo, MI 49007-5221 | 2016-12-13 |
| 1447529938 | Jill Shaw | Counselor | 181 Brackett St, Portland, ME 04102-3857 | 2011-12-29 |
| 1457508475 | Jill Marie Shaw | Nurse Practitioner | 356 W Cherry St, Ackerman, MS 39735-8709 | 2008-08-20 |
| 1790839355 | Jill Ann Shaw | Family Medicine | 1035 Placer St, Redding, CA 96001-1125 | 2007-01-22 |
| 1821020413 | Jill Davis Shaw | Speech-Language Pathologist | 32 Garland Dr, Jackson, TN 38305-3602 | 2006-07-06 |
| Street Address |
38377 N DREXEL BLVD |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-9778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| 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 |
|---|---|---|---|---|
| 1356701825 | Curtis Anthony Dewey | Chiropractor | 5336 Mount View Rd, Antioch, TN 37013-2307 | 2016-02-26 |
| 1942505839 | Matthew Kamerzell | Chiropractor | 4099 Lone Tree Way, Suite B, Antioch, CA 94531-6200 | 2011-01-24 |
| 1093959702 | Brenda Rose Basconcillo Ramos | Chiropractor | 3700 Delta Fair Blvd Ste L, Antioch, CA 94509 | 2009-04-24 |
| 1760679278 | Francel Caracol Nunnink | Chiropractor | 1362 Sunset Drive, Antioch, CA 94509 | 2007-09-28 |
| 1922121805 | Jessica Anaya | Chiropractor | 1407 A St, Suite D, Antioch, CA 94509-2357 | 2007-04-07 |
| 1720106396 | Frigard Chiropractic Professional Corporation | Chiropractor | 501 W 3rd St, Antioch, CA 94509-1275 | 2007-03-26 |
| 1477694958 | Christian Borje Canete | Chiropractor | 5305 Mount View Rd, Antioch, TN 37013-2308 | 2007-02-09 |
| 1528109147 | Marguerite Christine Elcenko-hecimovich | Chiropractor | 2800 Lone Tree Way, Antioch, CA 94509-4922 | 2007-02-08 |
| 1760557870 | Lance Miller | Chiropractor | 3638 Delta Fair Blvd, Antioch, CA 94509-4006 | 2006-11-22 |
| 1255403408 | Scott Foster Donaldson | Chiropractor | 2434 Pearlite Way, Antioch, CA 94531-9348 | 2006-11-14 |
| Find all providers in ANTIOCH | ||||
Please comment or provide details below to improve the information on DR. JILL BALLA SHAW.
| 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.