MANUEL A DUARTE (NPI# 1144427352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144427352 |
| Entity Type | Individual |
| Full Name | MANUEL A DUARTE |
| Credential | CHIROPRACTIC PHYSICI |
| Practice Address |
707 W Jefferson St Suite F Shorewood IL 60404 |
| Practice Telephone | 8157258200 |
| Practice Fax Number | 8157308576 |
| Mailing Telephone | 8157258200 |
| Mailing Fax Number | 8157308576 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
IL | Chiropractic Providers | |
| X | 111NX0800X |
Chiropractor Specialization: Orthopedic |
IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI CORPORATION | 1336296359 | 01 | |
| IL | BCBS | 9933246 | 01 |
| CORPORATION | 211653 | 01 |
| Street Address |
707 W JEFFERSON ST SUITE F |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649229386 | Joel D Bolton | Chiropractor | 707 W Jefferson St, Ste F, Shorewood, IL 60404-7380 | 2006-05-09 |
| 1134324379 | Sonia V Joubert | Chiropractor | 707 W Jefferson St, Suite F, Shorewood, IL 60404 | 2007-06-18 |
| 1932223278 | Southern Will County Coop | Local Education Agency (LEA) | 707 W Jefferson St, Suite K, Shorewood, IL 60431-7380 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336296359 | Health Care Enterprise | Chiropractor | 707 W Jefferson Street, Suite F, Shorewood, IL 60404 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535531 | Dr. Carrie Skony, LLC | Chiropractor | 3080 Ogden Ave Ste 202, Lisle, IL 60532-1694 | 2020-07-22 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
| 1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
| 1154689933 | Scott Family Chiropractic Clinic PC | Chiropractor | 4180 Rfd Ste 83, Suite 100, Long Grove, IL 60047-9580 | 2012-04-30 |
| 1891071114 | Nowicki Chiropractic Corporation | Chiropractor | 1841 Hicks Rd, Suite C, Rolling Meadows, IL 60008-1250 | 2011-11-01 |
| 1659652196 | Lauren Natalie Wills | Chiropractor | 1710 E 1st St, Sterling, IL 61081-2902 | 2011-08-29 |
| 1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
| 1356572564 | Josh Hover | Chiropractor | 8424 Skokie Blvd, Ste. 207, Skokie, IL 60077-2568 | 2009-08-05 |
| 1063685246 | Thomas Burton Sperry | Chiropractor | 2585 Ogden Ave, Downers Grove, IL 60515-1708 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
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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.