DR. KEVIN J RUSSEAU (NPI# 1508870080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508870080 |
| Entity Type | Individual |
| Full Name | DR. KEVIN J RUSSEAU |
| Credential | DC, DIBCN, DABFP |
| Practice Address |
311 S Naperville Rd Suite C Wheaton IL 60187-5473 |
| Practice Telephone | 6306904040 |
| Mailing Telephone | 6306904040 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
038-007072 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4655917 | 01 | |
| IL | BC/BS | 022-22298 | 01 |
| CIGNA | 8228039001 | 01 | |
| HEALTH PARTNERS | 79863 | 01 |
| Street Address |
311 S NAPERVILLE RD SUITE C |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265479505 | Arnetra Gilliam | Chiropractor | 311 S Naperville Rd, Ste. C, Wheaton, IL 60187-5473 | 2006-06-02 |
| 1669541363 | Donald Allen Dale Jr. | Dentist | 311 S Naperville Rd, Wheaton, IL 60187-5473 | 2006-11-07 |
| 1326052382 | Russeau Team Healthcare, Ltd. | Clinic/Center | 311 S Naperville Rd, Suite C, Wheaton, IL 60187-5473 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175893 | Lauren Destephano | Chiropractor | 2100 N Us Highway 12 Ste 101, Spring Grove, IL 60081-8308 | 2020-02-12 |
| 1396393682 | Neurologic Wellness Institute, Pllc | Chiropractor | 160 E Grand Ave # 200, Chicago, IL 60611-3800 | 2019-08-29 |
| 1639644222 | Beau Blakeley | Chiropractor | 320 W Burlington Ave, La Grange, IL 60525-2363 | 2018-10-10 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1801190525 | Spine & Joint Institute of Lake County | Chiropractor | 2634 Grand Ave Ste 100, Waukegan, IL 60085-2459 | 2011-01-10 |
| 1992944805 | Dr H. A. Metcalf P.C. | Chiropractor | 458 N Lake St, Aurora, IL 60506-4106 | 2009-02-17 |
| 1346495512 | Bioblu, LLC | Chiropractor | 9229 S 78th Ave, Hickory Hills, IL 60457-2133 | 2008-12-01 |
| 1467610691 | Frank George Antonino | Chiropractor | 200 E Chicago Ave, Suite 102, Westmont, IL 60559-1746 | 2008-05-23 |
| 1366654501 | Spine Institute of Waukegan | Chiropractor | 2634 Grand Ave Suite 100, Waukegan, IL 60085-2458 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.