PURE HEALTH PHYSICAL MEDICINE, LLC (NPI# 1134466162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134466162 |
| Entity Type | Organization |
| Organization Name | PURE HEALTH PHYSICAL MEDICINE, LLC |
| Practice Address |
2116 W Galena Blvd Suite 112 Aurora IL 60506-3533 |
| Practice Telephone | 6308971895 |
| Mailing Telephone | 6308971895 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-10-03 |
| Authorized Official Name | KENNETH OLSON (OWNER) |
| Authorized Official Telephone | 6308971895 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 038008765 | IL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038011191 | IL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038011696 | IL | Chiropractic Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209010369 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 036099986 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PTAN | IL8252 | 01 |
| Street Address |
2116 W GALENA BLVD SUITE 112 |
| City | AURORA |
| State | IL |
| Zip Code | 60506-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932292992 | Olson Chiropractic, Inc. | Chiropractor | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2006-10-02 |
| 1396168282 | Lydia Crist | Chiropractor | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2014-01-28 |
| 1669814364 | Anne Rowena Manalang | Nurse Practitioner | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2013-07-23 |
| 1417044363 | Kenneth J Olson | Chiropractor | 2116 W Galena Blvd, Suite 112, Aurora, IL 60506-3533 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
| 1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
| 1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
| 1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
| 1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
| 1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
| 1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
| Find all providers in zip 60506 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
| 1497384564 | Colleen Marie Markham | Family Medicine | 1550 S Potomac St Ste 200, Aurora, CO 80012-5432 | 2020-04-02 |
| 1477039931 | Augustine Rios | Family Medicine | 1532 Galena St Ste 300, Aurora, CO 80010-2236 | 2018-07-17 |
| 1114411410 | Unnati Upadhyay | Family Medicine | 2020 Ogden Ave Ste 3302020, Aurora, IL 60504-5894 | 2018-06-20 |
| 1346763448 | Blue Nile Clinic | Family Medicine | 11275 E Mississippi Ave Ste 2s3, Aurora, CO 80012-2825 | 2017-07-20 |
| 1346775343 | 5th Ave Family Practice & Cosmetics Pllc | Family Medicine | 2044 Clinton St, Unit B, Aurora, CO 80010-1003 | 2017-04-27 |
| 1669824694 | Vivirmed LLC | Family Medicine | 630 N Lake St, Aurora, IL 60506-3106 | 2016-07-01 |
| 1386094332 | Sarah Weinstein | Family Medicine | Academic Office One, #3611, 12631 E 17th Ave, Ms 496, Aurora, CO 80045 | 2016-06-20 |
| Find all providers in AURORA | ||||
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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.