HYDE PARK CHIROPRACTIC WELLNESS CENTER SC (NPI# 1104926344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104926344 |
| Entity Type | Organization |
| Organization Name | HYDE PARK CHIROPRACTIC WELLNESS CENTER SC |
| Practice Address |
1424 E 53rd St Suite 203 Chicago IL 60615-4500 |
| Practice Telephone | 7734937034 |
| Practice Fax Number | 7734935521 |
| Mailing Telephone | 7734937034 |
| Mailing Fax Number | 7734935521 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. ROLANDE D BALAN (OWNER) |
| Authorized Official Telephone | 7734937034 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038007681 | IL | Chiropractic Providers |
| Street Address |
1424 E 53RD ST SUITE 203 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750378006 | Rolande D Balan | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2005-10-03 |
| 1699018689 | Jesyka E Thomas | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2013-03-28 |
| 1225264179 | Rajan Sharma, Dds, Msd, PC | Dentist | 1424 E 53rd St, #209, Chicago, IL 60615-4500 | 2009-06-05 |
| 1780810630 | The Dental Specialists | Dentist | 1424 E 53rd St, #209, Chicago, IL 60615-4500 | 2009-06-05 |
| 1366598534 | Rufus Lawshea | Dentist | 1424 E 53rd St, 307, Chicago, IL 60615-4500 | 2007-01-28 |
| 1376615518 | Chicago Surgicare, PC | Clinic/Center | 1424 E 53rd St, Chicago, IL 60615-4500 | 2006-11-14 |
| 1700957271 | Elaine F Ward | Chiropractor | 1424 E 53rd St, Suite 203, Chicago, IL 60615-4500 | 2006-11-13 |
| 1912081324 | Arnell A. Brady | Speech-Language Pathologist | 1424 E 53rd St, Suite 307, Chicago, IL 60615-4500 | 2006-10-24 |
| 1750312690 | Mitchell Foot & Ankle PC | Podiatrist | 1424 E 53rd St, Suite 301, Chicago, IL 60615-4500 | 2006-07-06 |
| 1356372197 | Charles L Mitchell | Podiatrist | 1424 E 53rd St, Suite 301, Chicago, IL 60615-4500 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| 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 |
|---|---|---|---|---|
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
| 1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
| 1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
| 1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
| 1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
| 1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
| 1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
| 1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on HYDE PARK CHIROPRACTIC WELLNESS CENTER SC.
| 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.