SCOTT FONDA (NPI# 1518971886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518971886 |
| Entity Type | Individual |
| Full Name | SCOTT FONDA |
| Credential | DC |
| Practice Address |
825 N Cass Ave Suite 104 Westmont IL 60559-1132 |
| Practice Telephone | 6305224060 |
| Practice Fax Number | 6305224061 |
| Mailing Telephone | 6305224060 |
| Mailing Fax Number | 6305224061 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-007499 | IL | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
038-007499 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 038007499 | 05 |
| Street Address |
825 N CASS AVE SUITE 104 |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265703631 | Sports Medicine Solutions, S.c. | Chiropractor | 825 N Cass Ave, Suite 104, Westmont, IL 60559-1132 | 2012-01-18 |
| 1114064334 | Frederika Colleen Theus | Psychologist | 825 N Cass Ave, Suite 311, Westmont, IL 60559-1132 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| 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 |
|---|---|---|---|---|
| 1043750938 | Physicians Sports and Injury Center | Chiropractor | 777 Oakmont Ln Ste 1000, Westmont, IL 60559-5503 | 2017-02-27 |
| 1356628077 | Mark May | Chiropractor | 776 Burr Oak Dr, Westmont, IL 60559-1122 | 2011-11-09 |
| 1891013488 | Amey Jagdish Muzumdar | Chiropractor | 850 N Cass Ave, Suite 101, Westmont, IL 60559-1777 | 2010-05-07 |
| 1881790061 | Allied Chiropractic Physicians, P.C. | Chiropractor | 124 Westend Ave, Westmont, IL 60559-1642 | 2006-09-15 |
| 1457463945 | Stuart D Holland | Chiropractor | 315 W 63rd St, Westmont, IL 60559 | 2006-08-31 |
| 1447286299 | Christian T Cote | Chiropractor | 340-a Haddon Ave, Westmont, NJ 08108 | 2006-06-23 |
| 1235165036 | Christian T Cote | Chiropractor | 340-a Haddon Avenue, Westmont, NJ 08108 | 2006-06-23 |
| 1760429351 | Shari L Saluck | Chiropractor | 340 A Haddon Ave., Westmont, NJ 08108 | 2006-06-01 |
| 1669464996 | Margaret E Brownlie | Chiropractor | 23 Melrose St, Westmont, IL 60559-5109 | 2005-08-23 |
| 1992707970 | Darrell Wehrend | Chiropractor | 777 Oakmont Ln, Suite 1000, Westmont, IL 60559-5511 | 2005-08-10 |
| Find all providers in WESTMONT | ||||
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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.