SERENITY INTEGRATIVE MEDICINE LTD (NPI# 1699117531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699117531 |
| Entity Type | Organization |
| Organization Name | SERENITY INTEGRATIVE MEDICINE LTD |
| Other Organization Name | SPINE & SPORTS CENTER OF CHICAGO |
| Practice Address |
600 W Fulton St Suite 304 Chicago IL 60661-1259 |
| Mailing Address |
430 W Erie St Suite 403 Chicago IL 60654-6914 |
| Practice Telephone | 3127561778 |
| Mailing Telephone | 3128986327 |
| Mailing Fax Number | 3128466817 |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | THOMAS LOTUS (PRESIDENT) |
| Authorized Official Telephone | 3127561778 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | SERENITY INTEGRATIVE MEDICINE LTD. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Spine & Sports Center of Chicago | Doing Business As Name - Organization |
| Street Address |
600 W FULTON ST SUITE 304 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60661-1259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588643431 | Serenity Health & Wellness, Ltd | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2006-01-10 |
| 1023593332 | Muyiwa Adetona Babarinde | Registered Nurse | 600 W Fulton St, Chicago, IL 60661-1259 | 2018-10-02 |
| 1285111633 | Kaitlyn Selser | Counselor | 600 W Fulton St, Chicago, IL 60661-1259 | 2018-07-27 |
| 1952761868 | Eric Martinez | Nurse Practitioner | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2016-03-04 |
| 1821409368 | Healthcura Inc | Health Maintenance Organization | 600 W Fulton St, Chicago, IL 60661-1259 | 2014-05-19 |
| 1063854198 | Serenity Family Wellness Ltd | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2013-07-17 |
| 1215251277 | Richard F Shepherd | Social Worker | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2010-03-19 |
| 1710133079 | Frank Thomas Sutter | Chiropractor | 600 W Fulton St, Suite 304, Chicago, IL 60661-1259 | 2008-08-18 |
| 1811078595 | Hyung-shik Kang | Obstetrics & Gynecology | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2006-10-18 |
| 1801981022 | Pravin Shah | Family Medicine | 600 W Fulton St, Suite 200, Chicago, IL 60661-1259 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957993 | Safer Foundation | Clinic/Center | 769 W Jackson, Unit G, Chicago, IL 60661 | 2019-11-26 |
| 1174003644 | Safer Foundation | Clinic/Center | 571 W Jackson Blvd, Chicago, IL 60661 | 2018-08-15 |
| 1154835932 | Kathleen Emery | Psychologist | 555 W Jackson Blvd Ste 700, Chicago, IL 60661 | 2017-11-30 |
| 1407384886 | Dana M Trotta | Physical Therapist | 500 W Madison St # C024, Chicago, IL 60661 | 2017-05-30 |
| 1003356874 | Carcena Harvey-burns | Nurse Practitioner | 549 W Randolph St, Chicago, IL 60661 | 2017-02-27 |
| 1962949610 | H & U of West Loop LLC | Dentist | 207 S. Halsted St., Chicago, IL 60661 | 2017-01-19 |
| 1851700066 | Lauren Lew | Physician Assistant | 555 West Madison St. Apt 4903, Chicago, IL 60661 | 2014-08-13 |
| 1306114699 | Telos Therapy, LLC | Physical Therapist | 651 W Washington Blvd Ste 305, Chicago, IL 60661 | 2011-12-01 |
| 1912288622 | Peter Cuauhtemoc Shinnick | Pharmacist | 111 S Halsted, Chicago, IL 60661 | 2011-09-08 |
| 1619292570 | Ramandeep Kaur | Family Medicine | 1717 W. Congress Parkway Kellogg Suite 1125, Rush University Medical Center, Chicago, IL 60661 | 2010-04-05 |
| Find all providers in zip 60661 | ||||
| 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 |
|---|---|---|---|---|
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
| 1104448547 | Katie Niebur | Chiropractor | 6909 W Medill Ave, Chicago, IL 60707-2910 | 2020-05-07 |
| 1063031003 | Bazan's Health Center Inc | Chiropractor | 4012 W 63rd St, Chicago, IL 60629-4606 | 2020-04-09 |
| 1346875861 | Christopher A Haslett Dc P.c | Chiropractor | 400 N Wells St Ste 300, Chicago, IL 60654-2761 | 2020-03-04 |
| 1245870138 | Be Well Chiropractic Clinics LLC | Chiropractor | 3648 W Montrose Ave Apt 2e, Chicago, IL 60618-1979 | 2020-01-08 |
| 1982242186 | Michael Tal Risher | Chiropractor | 2378 N Elston Ct, Chicago, IL 60614-2929 | 2019-12-18 |
| 1821632423 | Rachel Nicole Leibovitz | Chiropractor | 624 W Belmont Ave, Chicago, IL 60657-4511 | 2019-11-06 |
| 1053954180 | Aaron Alexander Bryant | Chiropractor | 125 N Halsted St Ste 202, Chicago, IL 60661-2160 | 2019-10-22 |
| 1073156238 | Omar A. Bleibel | Chiropractor | 4801 W Peterson Ave Ste 505, Chicago, IL 60646-5795 | 2019-10-21 |
| Find all providers in CHICAGO | ||||
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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.