DR. FORREST FRANK KOGUT (NPI# 1770695173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770695173 |
| Entity Type | Individual |
| Full Name | DR. FORREST FRANK KOGUT |
| Credential | DC |
| Practice Address |
601 S Route 59 Ingleside IL 60041 |
| Practice Telephone | 8475878011 |
| Practice Fax Number | 8475875469 |
| Mailing Telephone | 8475878011 |
| Mailing Fax Number | 8475875469 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3501 | AZ | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| Street Address |
601 S ROUTE 59 |
| City | INGLESIDE |
| State | IL |
| Zip Code | 60041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1699216507 | Patrice Ann Piechur | Registered Nurse | 404 Madison Ave., Ingleside, IL 60041 | 2017-03-10 |
| 1679641492 | Chiro One Wellness Centers of Crystal Lake LLC | Chiropractor | 435 Angela Lane, Unit 19, Crystal Lake, IL 60041 | 2006-12-01 |
| 1609973049 | Jennifer Ann O'grady | Speech-Language Pathologist | 35050 N. Frontage Rd., Ingleside, IL 60041 | 2006-09-20 |
| 1447236229 | William C Dam | Internal Medicine | 214 Washington St, Ingleside, IL 60041 | 2005-12-22 |
| 1144461278 | Fox Lake Fire Protection District | Ambulance | 306 Washington St, Ingleside, IL 60041-0000 | 2009-03-19 |
| 1174759294 | Fox Lake Fire Protection District | Ambulance | 306 Washington, #237, Ingleside, IL 60041-0237 | 2009-06-03 |
| 1912217845 | Cecelia Blue | Counselor | 500 Spring Rd, 275, Ingleside, IL 60041-0275 | 2010-10-13 |
| 1124568720 | Maria Teresa Queypo | Registered Nurse | 604 Rollins Rd Unit 355, Ingleside, IL 60041-4401 | 2017-03-01 |
| 1104133552 | Caryn Anne Gehrke | Social Worker | 36859 N Stanton Point Rd, Ingleside, IL 60041-8411 | 2010-09-07 |
| Find all providers in zip 60041 | ||||
| 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 |
|---|---|---|---|---|
| 1144749151 | Derrick Drew Pousson | Chiropractor | 36485 N Maple Ave, Ingleside, IL 60041 | 2017-09-12 |
| 1386835122 | Dwayne A Kubecka | Chiropractor | 2334 Hwy 361, Suite 162, Ingleside, TX 78362-4127 | 2007-08-07 |
| 1356438295 | Mayfield Chiropractic | Chiropractor | 2168 Hwy 361, Ingleside, TX 78362 | 2006-10-10 |
| 1881796274 | Stanley Dee Seymour | Chiropractor | 2681 State Hwy 361, Ingleside, TX 78362 | 2006-09-05 |
| 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.