ST. CHARLES SERVICE CORPORATION (NPI# 1093070567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093070567 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES SERVICE CORPORATION |
| Other Organization Name | OLYMPIA CHIROPRACTIC AND PHYSICAL THERAPY |
| Practice Address |
1615 W. Main Street St. Charles IL 60174 |
| Mailing Address |
260 E. Army Trail Rd Suite D Bartlett IL 60103-3005 |
| Practice Telephone | 6308308600 |
| Practice Fax Number | 6308302273 |
| Mailing Telephone | 6308308600 |
| Mailing Fax Number | 6308302273 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2012-07-10 |
| Authorized Official Name | PASQUALE G. CALCAGNO (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 6308308600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 111N00000X | Chiropractor | 038007980 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Olympia Chiropractic and Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1615 W. MAIN STREET |
| City | ST. CHARLES |
| State | IL |
| Zip Code | 60174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1265704969 | Sarah Skea | Nurse Practitioner | 22 N 4th St, St Charles, IL 60174 | 2012-01-27 |
| Find all providers in zip 60174 | ||||
| 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 |
|---|---|---|---|---|
| 1114147436 | James Edward Judge | Chiropractor | 2422 W, Maine St., Unit 4a, St. Charles, IL 60174 | 2007-04-27 |
| 1790842060 | Teresa Darlene Hazelwood | Chiropractor | 5055 Hwy N Ste. #105, St. Charles, MO 63304-8031 | 2007-01-03 |
| 1336188309 | Erin Elizabeth Massey | Chiropractor | 2435 Dean Street, Unit D, St. Charles, IL 60175-4827 | 2006-06-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ST. CHARLES |
| Zip Code | 60174 |
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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.