ADVANCED MEDICAL & WELLNESS OF SPRING HILL, S.C. (NPI# 1366408387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366408387 |
Entity Type | Organization |
Organization Name | ADVANCED MEDICAL & WELLNESS OF SPRING HILL, S.C. |
Practice Address |
231 W Main St Suite 101 Carpentersville IL 60110-1788 |
Mailing Address |
Po Box 959 Dundee IL 60118-0959 |
Practice Telephone | 8474281515 |
Practice Fax Number | 8474280024 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2009-05-14 |
Authorized Official Name | DR. DANIEL P HORN (PRESIDENT) |
Authorized Official Telephone | 8474281515 |
Authorized Official Credential | D.C. |
Is Organization Subpart | Y |
Parent Organization Name | ADVANCED MEDICAL & WELLNESS OF SPRING HILL, S.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | Chiropractic Providers | ||
N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
231 W MAIN ST SUITE 101 |
City | CARPENTERSVILLE |
State | IL |
Zip Code | 60110-1788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568592822 | Aeba Thankaraj | Physical Therapist | 231 W Main St, Suite 101, Carpentersville, IL 60110 | 2007-03-06 |
1578520912 | Peter J. Horn | Chiropractor | 231 W Main St, Suite 101, Carpentersville, IL 60110-1788 | 2006-04-28 |
1386601037 | Daniel P. Horn | Chiropractor | 231 W Main St, Suite 101, Carpentersville, IL 60110-1788 | 2006-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104466168 | Jene Fer Tabaco | Physical Therapist | 104 Woodland Court 3b, Carpentersville, IL 60110 | 2020-01-08 |
1275013435 | Vanessa Retondo | Physical Therapist | 62 S Kennedy Dr, Carpentersville, IL 60110 | 2018-08-17 |
1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
1265831374 | Kelley Jean Spiro | Developmental Therapist | 5730 Breezeland Rd, Carpentersville, IL 60110 | 2014-08-14 |
1750632667 | Dundee Dental Smile PC | Clinic/Center | 27 South Western Ave, Unit # E, Carpenterville, IL 60110 | 2012-10-02 |
1487911970 | Hoolsema Therapy, Inc | Early Intervention Provider Agency | 6612 Majestic Way, Carpentersville, IL 60110 | 2012-04-20 |
1275847311 | Phillip Nelson Gonzalez | Physical Therapist | 62 S. Kennedy Dr., Carpentersville, IL 60110 | 2010-07-30 |
1194943134 | William H Morrow | Pharmacist | 406 Elm Ridge Court, Carpentersville, IL 60110 | 2007-04-23 |
1497770325 | Empower Home Health Services, Inc | Home Health | 856 Commerce Pkwy, Carpentersville, IL 60110 | 2006-07-13 |
1740233154 | Quality Renal Care LLC | Clinic/Center | 2203 Randall Road, Carpentersville, IL 60110 | 2006-05-18 |
Find all providers in zip 60110 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285256982 | Prm of Illinois | Physical Medicine & Rehabilitation | 625 N Michigan Ave Ste 810, Chicago, IL 60611-3110 | 2020-05-15 |
1346807724 | Complete Pain Management LLC | Physical Medicine & Rehabilitation | 16310 S Lincoln Hwy Ste 132, Plainfield, IL 60586-9100 | 2019-05-21 |
1376007757 | Jose Angel Munoz Jr. | Physical Medicine & Rehabilitation | 5035 W Parker Ave, Chicago, IL 60639-1603 | 2019-01-30 |
1770050668 | Prarie State Rehabilitation, LLC | Physical Medicine & Rehabilitation | 12220 S Cheyenne Dr, Palos Heights, IL 60463-1654 | 2018-10-29 |
1053806406 | Naperville Rehab and Medical Clinic PC | Physical Medicine & Rehabilitation | 445 Jackson Ave Ste 102, Naperville, IL 60540-5257 | 2018-06-28 |
1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
1992123004 | Bhavana Vaidya Md LLC | Physical Medicine & Rehabilitation | 10601 S Kilbourn Ave, Oak Lawn, IL 60453-5341 | 2014-04-04 |
1275966418 | Restorative Health Center Sc | Physical Medicine & Rehabilitation | 430 Barron Blvd, Grayslake, IL 60030-1666 | 2013-08-12 |
1629315312 | Chinatown Integrated Medicine Ltd | Physical Medicine & Rehabilitation | 2134b S Archer Ave Fl 2, Chicago, IL 60616-1514 | 2013-01-15 |
1760735377 | Suburban Medical & Rehab Clinic, Ltd | Physical Medicine & Rehabilitation | 269 S Roselle Rd, Schaumburg, IL 60193-1636 | 2012-10-19 |
Find all providers with the same taxonomy |
City | CARPENTERSVILLE |
Zip Code | 60110 |
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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.