DR. LEO GERDOV (NPI# 1366760308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366760308 |
| Entity Type | Individual |
| Full Name | DR. LEO GERDOV |
| Credential | D.C. |
| Practice Address |
1292 W Northwest Hwy Palatine IL 60067 |
| Mailing Address |
638 Dunsten Cir Northbrook IL 60062-2613 |
| Practice Telephone | 1773592722 |
| Practice Fax Number | 6302161126 |
| Mailing Telephone | 6309885364 |
| Mailing Fax Number | 6302161126 |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38011689 | IL | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 038011689 | IL | Chiropractic Providers |
| Street Address |
1292 W NORTHWEST HWY |
| City | PALATINE |
| State | IL |
| Zip Code | 60067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033436738 | Ryan Robert Felde | Chiropractor | 1292 W Northwest Hwy, Palatine, IL 60067-1897 | 2010-04-21 |
| 1114450061 | Lotus Wellness Center P.C. | Chiropractor | 1292 W Northwest Hwy, Palatine, IL 60067 | 2017-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710510730 | Little City Foundation | Clinic/Center | 1700 W. Algonquin Rd., Palatine, IL 60067 | 2020-02-18 |
| 1447883467 | Little City Foundation | Clinic/Center | 1520 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1477186492 | Little City Foundation | Clinic/Center | 1545 Port Center Drive, Palatine, IL 60067 | 2020-02-18 |
| 1003449026 | Little City Foundation | Clinic/Center | 1770 Little City Drive, Palatine, IL 60067 | 2020-02-18 |
| 1013554567 | Brittany Hall | Counselor | 1608 Colonial Parkway, Suite 101, 204, 209, Inverness, IL 60067 | 2019-12-03 |
| 1992360093 | Jonathan J Krok | Physical Therapist | 101 N. Northwest Hwy., Palatine, IL 60067 | 2019-05-03 |
| 1891215158 | Ana Stefaniuk | Counselor | Clinical Care Consultants, 1642 W. Colonial Parkway, Inverness, IL 60067 | 2017-06-27 |
| 1346792900 | Pt Solutions LLC | Physical Therapist | 30 S. Northwest Highway, Palatine, IL 60067 | 2016-10-31 |
| 1811355514 | Jayeti N Patel | Physical Therapist | 101 N. Northwest Highway, Palatine, IL 60067 | 2016-02-09 |
| 1780081315 | Mint Dentistry LLC | Preferred Provider Organization | 600 North North Court, Suite 260, Palatine, IL 60067 | 2014-11-25 |
| Find all providers in zip 60067 | ||||
| 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 |
|---|---|---|---|---|
| 1942773882 | Vartan Chakalian | Chiropractor | 2070 N Rand Rd Ste Ab, Palatine, IL 60074-2595 | 2019-01-03 |
| 1992295711 | Nathan Gerowitz | Chiropractor | 4880 Euclid Ave Ste 101, Palatine, IL 60067-7276 | 2018-05-16 |
| 1861946923 | Evolve Chiropractic Palatine LLC | Chiropractor | 17 W Wilson St, Palatine, IL 60067-5069 | 2016-08-06 |
| 1275887325 | Mehal D Patel | Chiropractor | 17 E Northwest Hwy, Suite 4, Palatine, IL 60067-3597 | 2012-10-27 |
| 1447541685 | Eric Eickhorst | Chiropractor | 5190 Euclid Ave, Palatine, IL 60067-7219 | 2011-04-21 |
| 1053624411 | Fatima Shirley Bangura | Chiropractor | 1565 N Winslowe Dr, Apt. 3b, Palatine, IL 60074-0120 | 2010-07-14 |
| 1033436738 | Ryan Robert Felde | Chiropractor | 1292 W Northwest Hwy, Palatine, IL 60067-1897 | 2010-04-21 |
| 1427388420 | Amanda Margaret Karm | Chiropractor | 310 Elmwood Ct, Palatine, IL 60067-7700 | 2010-01-13 |
| 1568650224 | Preventative Healthcare, Inc. | Chiropractor | 454 E Dundee Rd, Palatine, IL 60074-2814 | 2007-10-09 |
| 1124241443 | Bruce W Giffen | Chiropractor | 600 N 1st Bank Dr, Suite B, Palatine, IL 60067-8185 | 2007-04-11 |
| Find all providers in PALATINE | ||||
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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.