JBH MEDICAL CORPORATION LTD (NPI# 1255740635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255740635 |
| Entity Type | Organization |
| Organization Name | JBH MEDICAL CORPORATION LTD |
| Other Organization Name | HEALTHSOURCE OF BOLINGBROOK |
| Practice Address |
440 W Boughton Rd Ste 102 Bolingbrook IL 60440-1400 |
| Practice Telephone | 6307598989 |
| Mailing Telephone | 6307598989 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | BRADY JAMES SCHUYLER (OWNER) |
| Authorized Official Telephone | 6302535505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 038011006 | IL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 038009393 | IL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| HealthSource of Bolingbrook | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16119 Weber Rd, Crest Hill, IL 604038742 | 8155568093 | 8152676355 |
| Street Address |
440 W BOUGHTON RD STE 102 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| 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 |
|---|---|---|---|---|
| 1699305367 | Ryan S Pokrywka | Chiropractor | 725 N Pinecrest Rd, Bolingbrook, IL 60440-1151 | 2020-01-22 |
| 1063077964 | Bear Chiropractic and Rehab LLC | Chiropractor | 425 Quadrangle Dr Ste 120, Bolingbrook, IL 60440-3413 | 2019-05-06 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
| 1912307489 | Zubair Siddiqui | Chiropractor | 425 Quadrangle Dr, Ste 120, Bolingbrook, IL 60440-3413 | 2014-09-02 |
| 1629311006 | Discover Health Chiropractic | Chiropractor | 534 Rockhurst Rd, Bolingbrook, IL 60440-2509 | 2013-04-03 |
| 1891035887 | Nicholas J Cone | Chiropractor | 550 E Boughton Rd Ste 205, Bolingbrook, IL 60440-2396 | 2013-02-27 |
| 1265782973 | Mary Beck | Chiropractor | 1442 White Pine Ln, Bolingbrook, IL 60490-3182 | 2012-09-11 |
| 1386897288 | Summit Chiropractic P.C. | Chiropractor | 339 N Schmidt Rd, Bolingbrook, IL 60440-1702 | 2008-10-23 |
| 1811188915 | Prokopec Chiropractic Clinic, Ltd. | Chiropractor | 404 W Boughton Rd Ste B, Bolingbrook, IL 60440-1898 | 2007-08-05 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on JBH MEDICAL CORPORATION LTD.
| 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.