JENNA MARIE BOAZZO GLENN (NPI# 1356672190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356672190 |
| Entity Type | Individual |
| Full Name | JENNA MARIE BOAZZO GLENN |
| Credential | D.C. |
| Practice Address |
39a Stonehill Rd Oswego IL 60543-9449 |
| Mailing Address |
276 Hampton Rd Sugar Grove IL 60554-9424 |
| Practice Telephone | 6303604040 |
| Mailing Telephone | 6303604040 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038011612 | IL | Chiropractic Providers |
| Street Address |
39A STONEHILL RD |
| City | OSWEGO |
| State | IL |
| Zip Code | 60543-9449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687332 | Graceful Therapy, LLC | Marriage & Family Therapist | 2683 Route 34, Oswego, IL 60543 | 2018-07-30 |
| 1235669763 | Elizabeth Lassandrello Bremner | Counselor | 123 W. Washington St, Oswego, IL 60543 | 2017-06-18 |
| 1205365699 | The Wisdom Shuttle, Inc. | Non-emergency Medical Transport (VAN) | 234 Springbrook Trail South, Oswego, IL 60543 | 2017-06-08 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1033588686 | George Pearah | Internal Medicine | 408 Sudbury Circle, Oswego, IL 60543 | 2015-09-24 |
| 1619375078 | Kathryn Elyse Fish | Marriage & Family Therapist | 123 W Washington St Ste B-08, Oswego, IL 60543 | 2014-12-16 |
| 1821410713 | Amanda Southwell | Social Worker | 512 Affirmed Dr, Oswego, IL 60543 | 2014-01-10 |
| 1073852158 | James A. Sandrolini | Surgery | 245 Gray's Dr., Oswego, IL 60543 | 2013-02-08 |
| 1649514035 | Kelly L Mangler | Pharmacist | 2030 Route 34, Oswego, IL 60543 | 2012-11-26 |
| 1730483280 | Little Talkers, Speech and Language Therapy, LLC | Speech-Language Pathologist | 809 Barton Drive, Oswego, IL 60543 | 2010-12-27 |
| Find all providers in zip 60543 | ||||
| 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 |
|---|---|---|---|---|
| 1063928257 | Anenglish Inc | Chiropractor | 83 Templeton Dr Ste C, Oswego, IL 60543-7022 | 2017-12-26 |
| 1902353337 | Brandon Thomas Polaskey | Chiropractor | 39 Stonehill Rd Ste E, Oswego, IL 60543-9945 | 2016-09-01 |
| 1790179976 | Balanced Body Chiropractic LLC | Chiropractor | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5109 | 2015-03-25 |
| 1801142690 | Brittany Louise Bullard | Chiropractor | 227 West Lake Road, Oswego, NY 13126-2259 | 2012-07-30 |
| 1487950416 | Bridget Mccabe | Chiropractor | 233 Thompson Rd, Oswego, NY 13126-6041 | 2011-02-09 |
| 1588969208 | Fox Valley Care Clinic Ltd | Chiropractor | 2677 Us Highway 34, Suite C, Oswego, IL 60543-8577 | 2011-01-12 |
| 1912239302 | Ryan Dale Barker | Chiropractor | 55 East Bridge Street, Oswego, NY 13126-2120 | 2010-02-09 |
| 1649402918 | Chiro One Wellness Center of Oswego LLC | Chiropractor | 2281 Orchard Rd., Oswego, IL 60543 | 2009-08-19 |
| 1588855449 | Casey Thomas Mccaffrey | Chiropractor | 184 W 4th St, Apt # 1, Oswego, NY 13126-3011 | 2007-08-06 |
| 1821204223 | Shane Michael Wade | Chiropractor | 73 W Van Buren St, Oswego, IL 60543-7213 | 2007-05-15 |
| Find all providers in OSWEGO | ||||
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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.