HOMER CHIROPRACTIC CLINIC LLC (NPI# 1740510593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740510593 |
| Entity Type | Organization |
| Organization Name | HOMER CHIROPRACTIC CLINIC LLC |
| Practice Address |
12261 W 159th St Homer Glen IL 60491-7847 |
| Practice Telephone | 7083012255 |
| Practice Fax Number | 7083012631 |
| Mailing Telephone | 7083012255 |
| Mailing Fax Number | 7083012631 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2009-12-29 |
| Authorized Official Name | DR. HELEN E OWENS (MANAGER) |
| Authorized Official Telephone | 7083012255 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
038004287 | IL | Ambulatory Health Care Facilities |
| Street Address |
12261 W 159TH ST |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491-7847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639253636 | Susan Tilly | Physical Therapist | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2006-10-25 |
| 1942856943 | Anne Best | Physical Therapist | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2019-08-15 |
| 1417378647 | Brian Burkhart | Chiropractor | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2013-12-13 |
| 1649535196 | Ashley Cerullo | Physical Therapist | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2012-07-11 |
| 1851621601 | Orthopedic Physical Therapy Services LLC | Clinic/Center | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2009-12-29 |
| 1013073105 | Helen Owens | Physical Therapist | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2006-12-31 |
| 1487710570 | Bruce G Burkhart | Chiropractor | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2006-12-31 |
| 1255403507 | Victoria L Hyzny | Chiropractor | 12261 W 159th St, Homer Glen, IL 60491-7847 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490681 | Kellie Calderon | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491 | 2016-11-21 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| Find all providers in zip 60491 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351062 | Sara M Gotheridge Md LLC | Clinic/Center | 630 Davis St Ste 301, Evanston, IL 60201-4480 | 2020-06-17 |
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
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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.