K W HUNNEMEDER, DC PC (NPI# 1457551772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457551772 |
| Entity Type | Organization |
| Organization Name | K W HUNNEMEDER, DC PC |
| Practice Address |
4211 Grove Ave Gurnee IL 60031-2134 |
| Practice Telephone | 8472495200 |
| Practice Fax Number | 8472495204 |
| Mailing Telephone | 8472495200 |
| Mailing Fax Number | 8472495204 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | DR. KENNETH WILLIAM HUNNEMEDER (CHIROPRACTOR) |
| Authorized Official Telephone | 8472495200 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 03800365 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 0004982027 | 01 |
| Street Address |
4211 GROVE AVE |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| 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 |
|---|---|---|---|---|
| 1588203517 | Whitlee Haymore | Chiropractor | 2155 Greystem Cir Apt 210, Gurnee, IL 60031-9364 | 2019-12-21 |
| 1033698659 | Lake County Accident and Injury Center | Chiropractor | 36100 N Brookside Dr Ste 107, Gurnee, IL 60031-4572 | 2018-08-14 |
| 1952825929 | Straight Up Spine and Posture, PC | Chiropractor | 6021 Washington St Ste B, Gurnee, IL 60031-5369 | 2017-08-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1639474570 | Philip Wesley Davidson | Chiropractor | 5334 Henry Court, Apt B, Gurnee, IL 60031-6023 | 2011-01-25 |
| 1487800447 | M. Alan Neubauer | Chiropractor | 35865 N Il Route 21, Gurnee, IL 60031-1907 | 2008-08-11 |
| 1437339678 | Nathanial Bradley Clark | Chiropractor | 1475 N Dilleys Rd, Unit 2, Gurnee, IL 60031-1708 | 2007-11-05 |
| 1770610982 | Rosy Enterprises | Chiropractor | 729 Cohasset Ct, Gurnee, IL 60031-5809 | 2007-02-27 |
| 1710024054 | Jonathan Allen Haigh | Chiropractor | 3900 Washington St Ste I, Gurnee, IL 60031-5715 | 2007-01-30 |
| 1265502058 | Kari Crawford | Chiropractor | 521 N Oplaine Rd, Gurnee, IL 60031-2640 | 2006-11-08 |
| Find all providers in GURNEE | ||||
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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.