DR. SHAUN OWEN THUNELL (NPI# 1124110788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124110788 |
| Entity Type | Individual |
| Full Name | DR. SHAUN OWEN THUNELL |
| Credential | D.C. |
| Practice Address |
3464 E Broadway Alton IL 62002-2043 |
| Practice Telephone | 6184658200 |
| Practice Fax Number | 6184658184 |
| Mailing Telephone | 6184658200 |
| Mailing Fax Number | 6184658184 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-009267 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 06032102 | 01 |
| IL | 038009267 | 05 |
| Street Address |
3464 E BROADWAY |
| City | ALTON |
| State | IL |
| Zip Code | 62002-2043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275703712 | Litchfield Physical Medicine, Ltd | Chiropractor | 3464 E Broadway, Alton, IL 62002-2043 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| 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 |
|---|---|---|---|---|
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1679951693 | Christopher James Hummel | Chiropractor | 317 Homer Adams Pkwy Ste K, Alton, IL 62002-5948 | 2015-05-11 |
| 1659760239 | Renee Edelen | Chiropractor | 638 Rozier St, Alton, IL 62002-4249 | 2015-01-20 |
| 1750718672 | Wittman Chriopractic Group | Chiropractor | 325 Piggott Ln, Alton, IL 62002-7557 | 2013-10-09 |
| 1548512742 | Bemis Family Chiropractic LLC | Chiropractor | 230 Regional Dr., Alton, IL 62002 | 2012-10-11 |
| 1629377650 | Advanced Wellness Chiropractic and Functional Rehab LLC | Chiropractor | 231 E Delmar Rd, Alton, IL 62002-5935 | 2011-03-16 |
| 1184947996 | Alton Chiropractic & Massage Therapy Inc. | Chiropractor | 291 Main St., Alton, NH 03809 | 2010-03-08 |
| 1760712244 | Kyle Anthony Buesteton | Chiropractor | 231 E. Delmar, Alton, IL 62002-5935 | 2010-01-06 |
| 1275725988 | Connie Lynn Carpenter-farley | Chiropractor | 209 Henry St., Suite # 214, Alton, IL 62002-6323 | 2007-08-16 |
| 1326261256 | Jeffrey John Pfeifer | Chiropractor | 1751 Washington Ave, Alton, IL 62002 | 2007-04-10 |
| Find all providers in ALTON | ||||
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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.