MIDWEST MODERN HEALTH PLLC (NPI# 1780295253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780295253 |
| Entity Type | Organization |
| Organization Name | MIDWEST MODERN HEALTH PLLC |
| Practice Address |
306 East Main Street Lena IL 61048 |
| Practice Telephone | 8152912282 |
| Mailing Telephone | 8152912282 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | DR. TANNER JOHN MAGEE (DOCTOR OF CHIROPRACTIC) |
| Authorized Official Telephone | 8152912282 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
306 EAST MAIN STREET |
| City | LENA |
| State | IL |
| Zip Code | 61048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
| 1578677167 | Patrick George Schleich | Pharmacist | 154 W. Main St., Lena, IL 61048-0666 | 2006-08-19 |
| 1609027713 | Lena Winslow 202 | Local Education Agency (LEA) | 401 Fremont St, Lena, IL 61048-8610 | 2008-10-07 |
| 1114446978 | Kimberly Milder | Speech-Language Pathologist | 401 Fremont St, Lena, IL 61048-8610 | 2017-09-13 |
| 1336689322 | St. John's Lutheran Church, Inc. | Clinic/Center | 311 N. Lake Rd., Lena, IL 61048-8712 | 2017-02-24 |
| 1134523657 | Julio Delgadillo | Registered Nurse | 214 North Schuyler Street, Lena, IL 61048-8712 | 2014-10-13 |
| 1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
| 1205132172 | Tanya Marie Knoup | Community Health Worker | 8475 W Mound Rd, Lena, IL 61048-9016 | 2011-02-09 |
| 1891957874 | Gordon Edward Dammann | Dentist | 123 W Railroad St, Lena, IL 61048-9038 | 2008-06-30 |
| 1073723714 | Jon D Wolfe | Dentist | 123 W. Railroad St., Lena, IL 61048-9038 | 2007-05-23 |
| Find all providers in zip 61048 | ||||
| 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 |
|---|---|---|---|---|
| 1881768737 | Liles Chiropractic Clinic Ltd. | Chiropractor | 238 W Main St., Lena, IL 61048-9770 | 2006-11-20 |
| 1487981791 | Jared T. Liles | Chiropractor | 238 W Main St, Lena, IL 61048-9770 | 2009-11-06 |
| 1972574689 | James T Liles | Chiropractor | 238 W Main St, Lena, IL 61048-0424 | 2006-01-30 |
| 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.