DR. KRISTINE M RENN (NPI# 1720157670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720157670 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE M RENN |
| Credential | DC |
| Practice Address |
502 Swift Ave Oglesby IL 61348-1172 |
| Practice Telephone | 8158837024 |
| Mailing Telephone | 8158837024 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 05022845 | 01 |
| Street Address |
502 SWIFT AVE |
| City | OGLESBY |
| State | IL |
| Zip Code | 61348-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962593137 | John Charles Piano IIi | Chiropractor | 149 East Walnut Street, Oglesby, IL 61348 | 2006-09-27 |
| 1346525904 | Truletta M Argubright | Nurse Practitioner | 820 N Columbia Ave, Oglesby, IL 61348-1007 | 2011-10-14 |
| 1487823464 | Oglesby Elem Sch Dist 125 | Local Education Agency (LEA) | 755 Bennett Ave, Oglesby, IL 61348-1067 | 2008-02-25 |
| 1205975364 | Michael Allen Kristensen | Chiropractor | 646 N Columbia Ave, Oglesby, IL 61348-1071 | 2007-02-05 |
| 1174809636 | Bonnie Lynn Dzik | Speech-Language Pathologist | 604 Hickory Ave, Oglesby, IL 61348-1192 | 2011-10-28 |
| 1619158961 | Jennifer Lynn Sowers | Technician/Technologist | 105 1/2 W Walnut St, Oglesby, IL 61348-1215 | 2007-11-15 |
| 1669750600 | Myron H Wagner | Technician/Technologist | 105 1/2 W Walnut St, Oglesby, IL 61348-1215 | 2011-07-25 |
| 1144623273 | Dental Professionals of Illinois, P.C. | Dentist | 540 W Walnut St, Oglesby, IL 61348-1400 | 2014-10-03 |
| 1023070257 | Kelly L Deboer | Family Medicine | 520 W Walnut St, Oglesby Medical Clinic, Oglesby, IL 61348-1400 | 2006-04-04 |
| 1255883674 | Angela S Massutti | Nurse Practitioner | 520 W Walnut St, Oglesby, IL 61348-1400 | 2016-11-02 |
| Find all providers in zip 61348 | ||||
| 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 |
|---|---|---|---|---|
| 1750529970 | James Allen Opsal Jr. | Chiropractor | 275 N Columbia Ave, Oglesby, IL 61348-1495 | 2009-01-26 |
| 1205975364 | Michael Allen Kristensen | Chiropractor | 646 N Columbia Ave, Oglesby, IL 61348-1071 | 2007-02-05 |
| 1962593137 | John Charles Piano IIi | Chiropractor | 149 East Walnut Street, Oglesby, IL 61348 | 2006-09-27 |
| 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.