DR. JOEL D BOLTON (NPI# 1649229386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649229386 |
| Entity Type | Individual |
| Full Name | DR. JOEL D BOLTON |
| Credential | D.C |
| Practice Address |
707 W Jefferson St Ste F Shorewood IL 60404-7380 |
| Mailing Address |
1154 Brunswick Ln Aurora IL 60504-8900 |
| Practice Telephone | 8159192402 |
| Mailing Telephone | 6307464240 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009028 | IL | Chiropractic Providers |
| Street Address |
707 W JEFFERSON ST STE F |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-7380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144427352 | Manuel A Duarte | Chiropractor | 707 W Jefferson St, Suite F, Shorewood, IL 60404 | 2007-06-29 |
| 1134324379 | Sonia V Joubert | Chiropractor | 707 W Jefferson St, Suite F, Shorewood, IL 60404 | 2007-06-18 |
| 1932223278 | Southern Will County Coop | Local Education Agency (LEA) | 707 W Jefferson St, Suite K, Shorewood, IL 60431-7380 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| 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 |
|---|---|---|---|---|
| 1316303779 | Nicholas James Szopinski | Chiropractor | 805 W Jefferson St Ste A, Shorewood, IL 60404-7379 | 2016-01-14 |
| 1235550641 | Jenna Ann Ewers | Chiropractor | 852 Sharp Dr, Unit J, Shorewood, IL 60404-8843 | 2014-01-02 |
| 1538433099 | Ellis Chiropractic Inc. | Chiropractor | 805 W Jefferson St, Unit A, Shorewood, IL 60404-7379 | 2012-03-01 |
| 1093001950 | Hong Lee Inc | Chiropractor | 1138 W Jefferson St, Shorewood, IL 60404-0703 | 2011-06-20 |
| 1053602821 | Beau James Banton | Chiropractor | 3510 N Oakland Ave Ste 201, Shorewood, WI 53211-2746 | 2011-04-27 |
| 1558687467 | Stephen Michael Sherman | Chiropractor | 2211 E Capitol Dr, Shorewood, WI 53211-2106 | 2010-04-16 |
| 1821311101 | Jesse Michael Lang | Chiropractor | 900 Geneva St, Shorewood, IL 60404-9403 | 2010-03-01 |
| 1356468391 | Nomon Thanadabouth | Chiropractor | 102 West Jefferson Street Unit 1, Shorewood, IL 60404 | 2007-03-23 |
| 1124176268 | Richard Charles Maedke | Chiropractor | 1410 E Capitol Dr, Shorewood, WI 53211-1901 | 2007-01-08 |
| 1821154840 | Richard Donald Zahorik | Chiropractor | 4166 N Oakland Avenue, Shorewood, WI 53211-2026 | 2006-12-28 |
| Find all providers in SHOREWOOD | ||||
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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.