GERGOVICH FAMILY CHIROPRACTIC, LLC. (NPI# 1619267135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619267135 |
Entity Type | Organization |
Organization Name | GERGOVICH FAMILY CHIROPRACTIC, LLC. |
Practice Address |
130 3rd St La Salle IL 61301 |
Mailing Address |
130 3rd St La Salle IL 61301-2312 |
Practice Telephone | 8152230647 |
Practice Fax Number | 8152230987 |
Mailing Telephone | 8152230647 |
Mailing Fax Number | 8152230987 |
Enumeration Date | 2011-04-18 |
Last Update Date | 2018-11-28 |
Authorized Official Name | DR. MICHAEL JAMES GERGOVICH (DOCTOR OF CHIROPRACTIC) |
Authorized Official Telephone | 8152288137 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038011831 | IL | Chiropractic Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1603 N Aurora Rd, Suite #101, Naperville, IL 605631869 | 8152288137 | 6304282293 |
Street Address |
130 3RD ST |
City | LA SALLE |
State | IL |
Zip Code | 61301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
1295032084 | Michael James Gergovich | Chiropractor | 130 3rd St, La Salle, IL 61301-2312 | 2011-02-15 |
1245384528 | William L. Judge Chiropractic Center, PC | Chiropractor | 130 3rd St, La Salle, IL 61301-2312 | 2007-01-23 |
1306954482 | Patrick R Smith | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598912453 | Matthew V Hartman | Dentist | 941 First St, La Salle, IL 61301 | 2008-08-22 |
1164501078 | Pamela F Wolf | Counselor | 146 Gooding Street, La Salle, IL 61301 | 2006-11-02 |
1265514343 | Rose Mary Schaumberg | Nurse Practitioner | 2970 Chartres Street, Lasalle, IL 61301 | 2006-10-19 |
1578668141 | Cynthia L. Ashley | Psychologist | 206 Marquette Street, Suite 203, Lasalle, IL 61301 | 2006-09-14 |
1922016849 | Mary Therese Petrella | Nurse Practitioner | 2970 Chartres, Hygienic Institute Community Health Clinic, La Salle, IL 61301 | 2006-08-04 |
1124044318 | North Central Behavioral Health Systems, Inc | Clinic/Center | 2960 Chartres St., Lasalle, IL 61301 | 2006-07-14 |
1962445247 | William Michael White | Dentist | 225 Gooding St, Suite 1, La Salle, IL 61301 | 2006-06-14 |
1730629429 | Liberty Kathleen Grzybowski | Social Worker | 2960 Chartres St., La Salle, IL 61301 | 2017-03-01 |
1659538270 | Edward J Fesco Md Sc | Surgery | 206 Marquette St, Room 206, Lasalle, IL 61301 | 2008-05-21 |
1538368733 | Daniel E Oconnell | Dentist | 206 Marquette St, Lasalle, IL 61301 | 2007-07-17 |
Find all providers in zip 61301 |
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 |
---|---|---|---|---|
1760909675 | Kalapp, Inc | Chiropractor | 2426 Chartres St, La Salle, IL 61301-1107 | 2017-08-23 |
1730295809 | Margaret Joann Judge | Chiropractor | 546 Us Highway 6, La Salle, IL 61301-9629 | 2006-08-22 |
1073527461 | William L Judge | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-07-28 |
1295032084 | Michael James Gergovich | Chiropractor | 130 3rd St, La Salle, IL 61301-2312 | 2011-02-15 |
1245384528 | William L. Judge Chiropractic Center, PC | Chiropractor | 130 3rd St, La Salle, IL 61301-2312 | 2007-01-23 |
1306954482 | Patrick R Smith | Chiropractor | 130 3rd St, La Salle, IL 61301 | 2006-08-28 |
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 |
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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.