BLACK CHIROPRACTIC PC (NPI# 1689971715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689971715 |
| Entity Type | Organization |
| Organization Name | BLACK CHIROPRACTIC PC |
| Other Organization Name | BLACK CHIROPRACTIC & FAMILY WELLNESS CENTER |
| Practice Address |
1609 Sherman Ave 204 Evanston IL 60201-3753 |
| Practice Telephone | 8473282008 |
| Practice Fax Number | 8473288171 |
| Mailing Telephone | 8473282008 |
| Mailing Fax Number | 8473288171 |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |
| Authorized Official Name | CONSTANCE A BLACK (PRESIDENT) |
| Authorized Official Telephone | 8473282008 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038003757 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD IL | 01682433 | 01 |
| Other Name | Type Code |
|---|---|
| Black Chiropractic & Family Wellness Center | Doing Business As Name - Organization |
| Street Address |
1609 SHERMAN AVE 204 |
| City | EVANSTON |
| State | IL |
| Zip Code | 60201-3753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871517672 | Jeremy W Bloomfield | Psychologist | 1609 Sherman Ave, Suite 302, Evanston, IL 60201-3753 | 2006-07-26 |
| 1003347949 | Ross Psychological Group, Inc. | Psychologist | 1609 Sherman Ave, Suite 211, Evanston, IL 60201-3753 | 2017-03-22 |
| 1932566890 | Human Touch Therapeutics, Inc | Physical Therapist | 1609 Sherman Ave, Suite 207, Evanston, IL 60201-3753 | 2016-01-24 |
| 1225403652 | Tes Kefle | Social Worker | 1609 Sherman Ave, Evanston, IL 60201-3753 | 2015-12-10 |
| 1265836225 | Elizabeth Hart Physical Therapy | Physical Therapist | 1609 Sherman Ave, Suite 331, Evanston, IL 60201-3753 | 2014-10-20 |
| 1568708196 | Carolyn Myszkowski | Counselor | 1609 Sherman Ave, Suite 302, Evanston, IL 60201-3753 | 2013-01-01 |
| 1376842625 | Inspire Behavioral Health Centers, LLC | Psychologist | 1609 Sherman Ave, #205, Evanston, IL 60201-3753 | 2011-03-24 |
| 1295034544 | Insight Psychological Centers | Psychologist | 1609 Sherman Ave, #205, Evanston, IL 60201-3753 | 2011-03-24 |
| 1538489265 | Oehme Soule | Dietitian, Registered | 1609 Sherman Ave, Suite 326, Evanston, IL 60201-3753 | 2010-06-04 |
| 1508195728 | Paige Denise Lacava | Counselor | 1609 Sherman Ave, #314, Evanston, IL 60201-3753 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962898 | Sebastian Andres Cruz | Internal Medicine | Northshore University Healthsystem, Off of Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2020-05-06 |
| 1053970442 | Wade Gilman | Family Medicine | 1650 Ridge Ave, Ste 1304, Evanston, IL 60201 | 2019-06-10 |
| 1922577949 | Elizabeth Wilton Therapy, LLC | Counselor | 2901a Central St Ste 3, Evanston, IL 60201 | 2018-11-20 |
| 1952887812 | Sg Wellness LLC | Clinic/Center | 3008 Central Street, Evanston, IL 60201 | 2018-07-13 |
| 1689169591 | Michael Kert Zijlstra | Internal Medicine | Northshore University Healthsystem Office of Academic, Affairs 2650 Ridge Ave, Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1982199725 | Elizabeth Hannah Lees | Internal Medicine | Northshore University Healthsystem Office of Academic A, 2650 Ridge Ave Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1730674565 | Ashley Elizabeth Aller | Internal Medicine | Northshore University Healthsystem, Office Acad Affairs, 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2018-06-25 |
| 1669967683 | Ayush N Shah | Internal Medicine | 2650 Ridge Ave Ste 5315, Evanston, IL 60201 | 2018-06-22 |
| 1811481062 | Jeffrey D. Brow | Internal Medicine | 2650 Ridge Ave Rm 5315, Evanston, IL 60201 | 2018-06-20 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| Find all providers in zip 60201 | ||||
| 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 |
|---|---|---|---|---|
| 1346809621 | Susan Khorshid | Chiropractor | 1507 Chicago Ave, Evanston, IL 60201-4405 | 2019-06-10 |
| 1801452370 | Anna George Butler | Chiropractor | 910 Davis St, Evanston, IL 60201-3608 | 2019-05-10 |
| 1023502408 | Davidson Chiropractic Clinic - Evanston LLC | Chiropractor | 195 Feather Way Ste A, Evanston, WY 82930-9352 | 2018-06-19 |
| 1487167151 | Andrew John Eliszewski | Chiropractor | 500 Davis St Ste 109, Evanston, IL 60201-4600 | 2017-11-15 |
| 1508224247 | Evolution Spine & Sports Therapy, LLC | Chiropractor | 922 Noyes St, Evanston, IL 60201-2706 | 2016-02-09 |
| 1619390416 | James Ian Mccrackan | Chiropractor | 708 Church St Ste 204, Evanston, IL 60201-3881 | 2014-01-29 |
| 1487902938 | Abundant Transformation Co | Chiropractor | 1609a Chicago Ave, Evanston, IL 60201-4504 | 2012-08-15 |
| 1467710731 | Aaron Schreiber | Chiropractor | 708 Church St Ste 228, Evanston, IL 60201 | 2012-04-24 |
| 1003126178 | Chiropractic Health Management, LLC | Chiropractor | 1018 Davis St, 2nd Floor, Evanston, IL 60201-3610 | 2010-10-07 |
| 1447565080 | Michael Moy | Chiropractor | 1018 Davis St Fl 2, Second Floor, Evanston, IL 60201-3610 | 2010-08-06 |
| Find all providers in EVANSTON | ||||
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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.