PATRICK B. WHITAKER, D.C., P.C. (NPI# 1104190503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104190503 |
| Entity Type | Organization |
| Organization Name | PATRICK B. WHITAKER, D.C., P.C. |
| Practice Address |
129 Phelps Ave Suite 316 Rockford IL 61108-2453 |
| Practice Telephone | 8152295568 |
| Practice Fax Number | 8152290942 |
| Mailing Telephone | 8152295568 |
| Mailing Fax Number | 8152290942 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | DR. PATRICK B WHITAKER (OWNER) |
| Authorized Official Telephone | 8152295568 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | UPIN | T37426 | 01 |
| Street Address |
129 PHELPS AVE SUITE 316 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239284 | Gary D Rifkin | Specialist | 129 Phelps Ave, Suite 508, Rockford, IL 61108-2453 | 2005-07-20 |
| 1760931356 | Kathleen Marie O'dierno | Social Worker | 129 Phelps Ave, Building 8, Suite 825, Rockford, IL 61108-2453 | 2016-09-24 |
| 1235506486 | Milos Dental Care | Dentist | 129 Phelps Ave, Suite 307, Rockford, IL 61108-2453 | 2015-08-24 |
| 1245616929 | Virtual Cardiology, LLC | Internal Medicine | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-08-05 |
| 1619368834 | Portable Medical Resources Ltd | Radiologic Technologist | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-02-10 |
| 1861836835 | Camelot Imaging Solutions, Ltd | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 129 Phelps Ave, Suite 213, Rockford, IL 61108-2453 | 2013-04-22 |
| 1396071932 | Andrea L Reynolds | Massage Therapist | 129 Phelps Ave, Rockford, IL 61108-2453 | 2009-11-01 |
| 1225153273 | Bonnie Blakeley | Counselor | 129 Phelps Ave, Suite 204, Rockford, IL 61108-2453 | 2007-03-20 |
| 1598889537 | Sadie Foster | Counselor | 129 Phelps Ave, Suite 910, Rockford, IL 61108-2453 | 2007-03-16 |
| 1649337783 | Sandra Lynn Williams | Social Worker | 129 Phelps Ave, Suite 907, Rockford, IL 61108-2453 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1477161966 | Trufant Chiropractic Center | Chiropractor | 11775 Cedar Rock Dr Ne Ste C, Rockford, MI 49341-8255 | 2020-07-21 |
| 1700405925 | James Robert Palmer IIi | Chiropractor | 863 S Perryville Rd, Rockford, IL 61108-4328 | 2020-04-09 |
| 1720613631 | Mario Nathaniel Rosales | Chiropractor | 818 Coolidge Pl, Rockford, IL 61107-3638 | 2020-03-11 |
| 1740840271 | Natalie Rose Richards | Chiropractor | 5875 E Riverside Blvd Ste 115, Rockford, IL 61114-4937 | 2019-06-17 |
| 1710449756 | Vitaliy Dobrogorskiy | Chiropractor | 4350 Morsay Dr, Rockford, IL 61107-4877 | 2019-04-01 |
| 1871008409 | Brad Johannsen | Chiropractor | 6769 Courtland Dr Ne Ste 100, Rockford, MI 49341-7243 | 2017-12-05 |
| 1245755867 | Lynch Chiropractic | Chiropractor | 3806 E State St Ste 101, Rockford, IL 61108-2057 | 2017-08-04 |
| 1871049692 | Nicole Theresa Giacopelli | Chiropractor | 6000 E State St Ste 201, Rockford, IL 61108-2521 | 2016-08-31 |
| 1396132692 | Kb Chiropractic Center, Inc. | Chiropractor | 2606 Broadway, Suite 1a, Rockford, IL 61108-5768 | 2015-04-24 |
| Find all providers in ROCKFORD | ||||
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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.