NELSON CHIROPRACTRIC, S.C. (NPI# 1467631309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467631309 |
| Entity Type | Organization |
| Organization Name | NELSON CHIROPRACTRIC, S.C. |
| Practice Address |
7310 N Villa Lake Dr Ste. D Peoria IL 61614-8267 |
| Practice Telephone | 3096919767 |
| Practice Fax Number | 3096919457 |
| Mailing Telephone | 3096919767 |
| Mailing Fax Number | 3096919457 |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2007-10-28 |
| Authorized Official Name | DR. RODNEY L NELSON (PRESIDENT) |
| Authorized Official Telephone | 3096919767 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 042.617841 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP ID | 212653 | 01 |
| Street Address |
7310 N VILLA LAKE DR STE. D |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-8267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982793881 | Rodney Loren Nelson | Chiropractor | 7310 N Villa Lake Dr, D, Peoria, IL 61614-8267 | 2006-10-11 |
| 1205293446 | Kyle Bruketa | Chiropractor | 7310 N Villa Lake Dr, Peoria, IL 61614-8267 | 2016-01-19 |
| 1104283357 | Bruketa Family Chiropractic | Chiropractor | 7310 N Villa Lake Dr, Peoria, IL 61614-8267 | 2016-01-19 |
| 1619144524 | Denise R. Flynn Dds Ltd | Dentist | 7310 N Villa Lake Dr, Suite C, Peoria, IL 61614-8267 | 2008-05-09 |
| 1619094166 | Joachim Ajala | Dentist | 7310 N Villa Lake Dr, Suite B, Peoria, IL 61614-8267 | 2007-03-22 |
| 1952436180 | Richard Alan Olson | Chiropractor | 7310 N Villa Lake Dr, Suite D, Peoria, IL 61614-8267 | 2007-02-21 |
| 1831234368 | Dr. Richard A. Olson Chiropractic Inc | Chiropractor | 7310 N Villa Lake Dr, Peoria, IL 61614-8267 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1467094557 | Chiro One Wellness Center of Peoria LLC | Chiropractor | 4125 N Sheridan Rd, Peoria, IL 61614-7167 | 2019-10-10 |
| 1134778418 | Benjamin Charles Deig | Chiropractor | 7800 N Sommer St Ste 203, Peoria, IL 61615-1990 | 2019-09-09 |
| 1851951610 | Wyatt Richard Kissling | Chiropractor | 26135 N 85th Dr, Peoria, AZ 85383-3608 | 2019-06-14 |
| 1336707447 | Pyle Family Chiropractic Pllc | Chiropractor | 10200 W Happy Valley Pkwy Ste 135, Peoria, AZ 85383-2879 | 2019-06-04 |
| 1356849772 | Brandie Long | Chiropractor | 4125 N Sheridan Rd Ste 14, Peoria, IL 61614-7181 | 2018-01-31 |
| 1457865933 | Hanna Ariella Singer | Chiropractor | 1401 W Covington Ct Apt 17, Peoria, IL 61614-5859 | 2017-11-20 |
| 1548798333 | Bryan Scott Rand | Chiropractor | 6750 W Thunderbird Rd Ste B-101, Peoria, AZ 85381-5026 | 2017-05-24 |
| 1568903433 | Timothy Ballitch | Chiropractor | 8765 W Kelton Ln Ste B4, Peoria, AZ 85382-5010 | 2017-03-13 |
| 1215398367 | Alp Wellness Inc | Chiropractor | 4700 N University St Spc 65, Peoria, IL 61614-5849 | 2016-03-17 |
| 1275912545 | Lindsey Lea Rafool | Chiropractor | 719 W Lake Ave, Peoria, IL 61614-5941 | 2015-05-20 |
| Find all providers in PEORIA | ||||
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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.