CORE CHIROPRACTIC, S.C. (NPI# 1295133973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295133973 |
| Entity Type | Organization |
| Organization Name | CORE CHIROPRACTIC, S.C. |
| Practice Address |
5316 West Elm St. Mchenry IL 60050-4029 |
| Practice Telephone | (815) 324-4763 |
| Practice Fax Number | 8156691047 |
| Mailing Telephone | (815) 324-4763 |
| Mailing Fax Number | 8156691047 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MIKAEL JOHNSON (OWNER) |
| Authorized Official Telephone | 8158143958 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-010553 | IL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 36735 N Il Route 83, Suite D, Lake Villa, IL 600469619 | 8472653340 | 8472454491 |
| Street Address |
5316 WEST ELM ST. |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| 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 |
|---|---|---|---|---|
| 1396226361 | Spengel Chiropractic S.c. | Chiropractor | 2808 W Il Route 120 Fl 1, Mchenry, IL 60051-4567 | 2018-08-27 |
| 1962832873 | Centegra Primary Care LLC | Chiropractor | 2507 North Richmond Road, Mchenry, IL 60050 | 2013-11-14 |
| 1356784706 | Hands That Heal Chiropractic LLC | Chiropractor | 5463 Bull Valley Rd, Mchenry, IL 60050-7410 | 2013-04-15 |
| 1659403400 | Linda Reiter | Chiropractor | 5415 Bull Valley Rd, Mchenry, IL 60050-7410 | 2007-03-09 |
| 1982700373 | Mikael Axel Johnson | Chiropractor | 5316 West Elm St, Mchenry, IL 60050-4029 | 2006-09-15 |
| 1790896629 | Timothy James Hartlett | Chiropractor | 202 S Il Route 31, Mchenry, IL 60050 | 2006-08-31 |
| 1083724959 | Kenneth T Reiser | Chiropractor | 4921 W Elm Street, Mchenry, IL 60050 | 2006-08-30 |
| 1700994407 | Trinty Chiropractic and Wellnes Ltd | Chiropractor | 5404 W Elm St Ste Q, Mchenry, IL 60050-4007 | 2006-08-25 |
| 1285641597 | Scott Joseph Spengel | Chiropractor | 2808 W Il Route 120, Mchenry, IL 60051-4567 | 2006-08-01 |
| 1437164266 | Robert P Counihan | Chiropractor | 4005 Kane Ave, Suite L, Mchenry, IL 60050 | 2006-07-30 |
| Find all providers in MCHENRY | ||||
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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.