DR. MARK WILLIAM SEVERANCE (NPI# 1750503454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750503454 |
| Entity Type | Individual |
| Full Name | DR. MARK WILLIAM SEVERANCE |
| Credential | D.C. |
| Practice Address |
300 Center Dr Suite 109 Vernon Hills IL 60061-1525 |
| Mailing Address |
660 Diamond Pointe Dr Mundelein IL 60060-5602 |
| Practice Telephone | 8479846460 |
| Practice Fax Number | 8479846462 |
| Mailing Telephone | 2245785175 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009481 | IL | Chiropractic Providers |
| Street Address |
300 CENTER DR SUITE 109 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-1525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841570892 | Stephen M Parker Dds Ltd | Dentist | 300 Center Dr, Suite 106, Vernon Hills, IL 60061-1525 | 2011-08-23 |
| 1174774228 | D&l Family Dental Center | Dentist | 300 Center Dr, Suite 106, Vernon Hills, IL 60061-1525 | 2008-10-07 |
| 1699953745 | Chiropractic Works of Illinois, Ltd. | Chiropractor | 300 Center Dr, Suite 109, Vernon Hills, IL 60061-1525 | 2008-01-31 |
| 1336356856 | Quyen T. Dang | Dentist | 300 Center Dr, Suite 106, Vernon Hills, IL 60061-1525 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| 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 |
|---|---|---|---|---|
| 1679039226 | Chiropractic Decompression Center | Chiropractor | 100 N Fairway Dr Ste 100, Vernon Hills, IL 60061-1859 | 2019-02-19 |
| 1104357870 | Ryan Patrick Molloy | Chiropractor | 201 Us Highway 45 Ste A, Vernon Hills, IL 60061-2300 | 2017-03-24 |
| 1427204767 | Nathan James Raders | Chiropractor | 1000 Buttefield Rd, Suite 1005, Vernon Hills, IL 60061 | 2008-08-18 |
| 1528237120 | Hubert Ervin Willis | Chiropractor | 281 W Townline Rd Ste 200, Vernon Hills, IL 60061-4334 | 2008-02-27 |
| 1124148283 | Jill Suzanne Wheeler | Chiropractor | 281 W Townline Rd, Suite 200, Vernon Hills, IL 60061-4334 | 2007-03-30 |
| 1336245786 | Derek Lewis Talbot | Chiropractor | 10 Phillip Rd, Ste 114, Vernon Hills, IL 60061-1730 | 2006-09-15 |
| 1053321349 | Jane Ann Hajduk | Chiropractor | 131 E Townline Rd, Vernon Hills, IL 60061-1424 | 2006-08-09 |
| 1093795817 | Scott S Dooley | Chiropractor | 935 Lakeview Pkwy, 110, Vernon Hills, IL 60061-1443 | 2006-01-18 |
| 1174528160 | Steven W. Hauf | Chiropractor | 10 W Phillip Rd, Suite 119, Vernon Hills, IL 60061-1799 | 2005-06-16 |
| 1952306078 | Dennis Patrick Molloy | Chiropractor | 201 Us Highway 45, Ste A, Vernon Hills, IL 60061-2300 | 2005-06-15 |
| Find all providers in VERNON HILLS | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on DR. MARK WILLIAM SEVERANCE.
| 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.