BLOOMINGTON CHIROPRACTIC CENTER, LTD. (NPI# 1487833992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487833992 |
| Entity Type | Organization |
| Organization Name | BLOOMINGTON CHIROPRACTIC CENTER, LTD. |
| Practice Address |
409 S Prospect Rd Suite A Bloomington IL 61704-4581 |
| Practice Telephone | 3096638388 |
| Practice Fax Number | 3096630929 |
| Mailing Telephone | 3096638388 |
| Mailing Fax Number | 3096630929 |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |
| Authorized Official Name | DR. JOHN M EVERINGHAM (SENIOR ASSOICATE) |
| Authorized Official Telephone | 3096638388 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 060002911- 03800 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS / BLUE SHIED | 5715397 | 01 |
| Street Address |
409 S PROSPECT RD SUITE A |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-4581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326125501 | William Joseph Rademacher | Chiropractor | 409 S Prospect Rd, Suite A, Bloomington, IL 61704-4581 | 2006-11-01 |
| 1407389687 | Acupuncture Medical Solutions, Inc. | Chiropractor | 409 S Prospect Rd, Suite E, Bloomington, IL 61704-4581 | 2017-04-05 |
| 1699006940 | Smart Health & Wellness Center, LLC | Chiropractor | 409 S Prospect Rd, Suite D, Bloomington, IL 61704-4581 | 2010-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225676067 | Liana Healthcare P.ll.c | Clinic/Center | 8348 Beard Rd, Bloomington, MN 55431-1028 | 2019-12-11 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1922518463 | Kids Play Sensory Gym LLC | Clinic/Center | 2010 S Yost Ave, Bloomington, IN 47403-3188 | 2017-10-11 |
| 1508146515 | Lifeview Care Co, Pllc | Clinic/Center | 3600 American Blvd W Ste 225, Bloomington, MN 55431-1079 | 2011-08-22 |
| 1356639058 | Lifeview Care,pllc | Clinic/Center | 3600 American Blvd W, Suite 225, Bloomington, MN 55431-1079 | 2011-07-14 |
| 1962646786 | Carolyn Marion Smith | Clinic/Center | 3620 N Lauren Ln, Bloomington, IN 47404-9206 | 2009-04-23 |
| 1598225328 | Action for East African People Afeap | Clinic/Center | 3701 W Old Shakopee Rd, Bloomington, MN 55431-3555 | 2019-03-20 |
| 1578028288 | Actioncare Community Clinic Inc | Clinic/Center | 10584 France Ave S, Bloomington, MN 55431-3538 | 2019-02-06 |
| 1942778097 | The Sweere Clinic LLC | Clinic/Center | 2501 W 84th St, Bloomington, MN 55431-1602 | 2018-11-07 |
| 1861858953 | Fairview Health Services | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2016-01-06 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on BLOOMINGTON CHIROPRACTIC CENTER, LTD..
| 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.