DR. KENNETH ERVIN BAUMRUCK (NPI# 1568475259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568475259 |
| Entity Type | Individual |
| Full Name | DR. KENNETH ERVIN BAUMRUCK |
| Credential | D.C. |
| Practice Address |
319 S. Main St. Elburn IL 60119 |
| Mailing Address |
319 S. Main St. P.o. Box 382 Elburn IL 60119 |
| Practice Telephone | 6303655432 |
| Practice Fax Number | 6303656160 |
| Mailing Telephone | 6303655432 |
| Mailing Fax Number | 6303656160 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
319 S. MAIN ST. |
| City | ELBURN |
| State | IL |
| Zip Code | 60119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093192353 | Tessa Mackenzie Lee | Developmental Therapist | 317 North 4th St, Elburn, IL 60119 | 2015-05-06 |
| 1619232154 | Miranda Lyn Middona | Counselor | 913 Kindberg Court, Elburn, IL 60119 | 2012-07-11 |
| 1821217993 | American Drug Stores LLC | Pharmacy | 800 North Main St, Elburn, IL 60119 | 2007-04-25 |
| 1992872840 | Orawin Technology | Clinic/Center | 3n696 Roberts Road, Elburn, IL 60119 | 2006-11-29 |
| 1407927726 | Robert B Davidson | Dentist | 708 N Main St, Elburn, IL 60119 | 2006-11-10 |
| 1598851024 | Kristy Ellen Gibson | Speech-Language Pathologist | 1025 Kendall Street, Elburn, IL 60119 | 2006-10-04 |
| 1316961691 | Harry F Krauspe | Dentist | 400 North Main St., Elburn, IL 60119 | 2006-07-27 |
| 1619191699 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 800 N Main St, Elburn, IL 60119 | 2007-04-12 |
| 1457370652 | Elburn & Countryside Fire Protection District | Ambulance | 1 S 1st St, Elburn, IL 60119-7000 | 2006-07-19 |
| 1962017665 | Hopeology, Pllc | Clinic/Center | 700 E North St Ste B, Elburn, IL 60119-7009 | 2020-09-10 |
| Find all providers in zip 60119 | ||||
| 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 |
|---|---|---|---|---|
| 1154817328 | Kevin Paul Shimer | Chiropractor | 701 E North St Ste B, Elburn, IL 60119-9052 | 2018-07-10 |
| 1881773448 | David Foss D.c. Ltd. | Chiropractor | 108 Valley Dr, Suite F, Elburn, IL 60119-8872 | 2006-11-03 |
| 1316945348 | Erika Kristin Mennerick | Chiropractor | 701 E North St, Ste. B, Elburn, IL 60119-9052 | 2005-07-13 |
| 1346429685 | David Lin Foss | Chiropractor | 108 Valley Dr, Suite F, Elburn, IL 60119-8872 | 2007-11-02 |
| 1588615264 | Trillium Health & Wellness, Sc | Chiropractor | 701 E North St, Ste. B, Elburn, IL 60119-9052 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 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.