MS. SUSAN MARIE MINDER (NPI# 1124236989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124236989 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE MINDER |
| Credential | D.C. |
| Practice Address |
2025 W Iles Ave Suite B Springfield IL 62704-4190 |
| Practice Telephone | 2172415300 |
| Practice Fax Number | 2172415322 |
| Mailing Telephone | 2172415300 |
| Mailing Fax Number | 2172415322 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | IL | Chiropractic Providers | |
| X | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH LINK | 339643 | 01 | |
| BLUE CROSS & BLUE SHIELD | 84-20187 | 01 |
| Street Address |
2025 W ILES AVE SUITE B |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-4190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528165743 | Hughes Chiropractic Healthcare Sc | Chiropractor | 2025 W Iles Ave, Suite A, Springfield, IL 62704-4197 | 2006-09-20 |
| 1164859765 | Nxt Level Wellness, LLC | Chiropractor | 2025 W Iles Ave, Springfield, IL 62704-4190 | 2013-09-27 |
| 1871816389 | James William Davis | Dentist | 2025 W Iles Ave, Suite F, Springfield, IL 62704-4190 | 2010-03-11 |
| 1013191956 | Todd J. Hughes | Chiropractor | 2025 W Iles Ave, Suite A, Springfield, IL 62704-4190 | 2007-12-27 |
| 1649342999 | Springfield Periodontics LLC | Dentist | 2025 W Iles Ave, Springfield, IL 62704-4190 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| 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 |
|---|---|---|---|---|
| 1376140616 | Springfield Chiropractic LLC | Chiropractor | 505 N Laurel St, Springfield, GA 31329-6815 | 2020-10-08 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1730725425 | Chiro One Wellness Center of Springfield, LLC | Chiropractor | 3409 Freedom Dr Ste 150a, Springfield, IL 62704-6517 | 2019-11-18 |
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1992355473 | Candace Bahk Kim | Chiropractor | 6225 Brandon Ave Ste 175, Springfield, VA 22150-2519 | 2019-09-16 |
| 1558826545 | Adrian Bryon Hunter | Chiropractor | 6130 Brandon Ave, Springfield, VA 22150-2610 | 2019-02-05 |
| 1720554959 | Revive Health and Injury Center, LLC | Chiropractor | 333 N Limestone St Ste 104, Springfield, OH 45503-4250 | 2018-10-15 |
| 1831693621 | Michael Benjamin Chiapetto | Chiropractor | 1340 S State St, Springfield, IL 62704-3625 | 2018-03-19 |
| 1134637382 | Gnr Chiropractic LLC | Chiropractor | 2700 W Lawrence Ave Ste J3, Springfield, IL 62704-7201 | 2018-01-22 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on MS. SUSAN MARIE MINDER.
| 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.