DR. SEBASTIAN R FUKSA (NPI# 1821178401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821178401 |
| Entity Type | Individual |
| Full Name | DR. SEBASTIAN R FUKSA |
| Credential | DC |
| Practice Address |
4581 Princeton Ln Suite 119 Lake In The Hills IL 60156 |
| Mailing Address |
4581 Princeton Lane Suite 119 Lake In The Hills IL 60156 |
| Practice Telephone | 8476696888 |
| Practice Fax Number | 8476698203 |
| Mailing Telephone | 8476696888 |
| Mailing Fax Number | 8476698203 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038009936 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS IL | 05632177 | 01 |
| Street Address |
4581 PRINCETON LN SUITE 119 |
| City | LAKE IN THE HILLS |
| State | IL |
| Zip Code | 60156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821633389 | Stephanie Buonocore | Counselor | 9241 S. Rte 31, Lake In The Hills, IL 60156 | 2019-11-08 |
| 1235787995 | Valerie H. Mayer | Technician | 4 Danbury Ct, Lake In The Hills, IL 60156 | 2019-08-27 |
| 1952811796 | Jennifer Ahrens | Counselor | 9241 S. Route 31, Lake In The Hills, IL 60156 | 2017-10-06 |
| 1962911883 | Rachel Ann Ginter | Counselor | 9241 S Route 31, Lake In The Hills, IL 60156 | 2017-09-22 |
| 1285166215 | Maureen Chambers | Counselor | 9241 S Illinois Rte 31, Owens & Associates Counseling and Therapy Center, Lake In The Hills, IL 60156 | 2017-03-29 |
| 1851623177 | Daniel M Summerkamp | Chiropractor | 4614 W. Algonquin Road, Lake In The Hills, IL 60156 | 2010-02-11 |
| 1922335793 | Vanessa Martinez | Counselor | 5332 Wildspring Dr, Lake In The Hills, IL 60156 | 2009-11-15 |
| 1558505263 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4511 Algonquin Rd., Lake In The Hills, IL 60156 | 2009-04-24 |
| 1225236714 | Precise Chiropractic Center | Chiropractor | 4581 Princeton Lane, Suite 119, Lake In The Hills, IL 60156 | 2007-07-05 |
| 1932329307 | Smile Concepts Ltd | Dentist | 2110 W Algonquin Rd., Lake In The Hills, IL 60156 | 2007-04-27 |
| Find all providers in zip 60156 | ||||
| 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 |
|---|---|---|---|---|
| 1134633621 | Jennifer Pishotta | Chiropractor | 14 Miller Rd, Lake In The Hills, IL 60156-1008 | 2017-11-21 |
| 1497023527 | Amy Cizel | Chiropractor | 4614 W Algonquin Rd, Lake In The Hills, IL 60156-6722 | 2011-12-03 |
| 1104131218 | Fusion Health and Fitness | Chiropractor | 7 Sherwood Ct, Lake In The Hills, IL 60156-5929 | 2010-08-12 |
| 1851623177 | Daniel M Summerkamp | Chiropractor | 4614 W. Algonquin Road, Lake In The Hills, IL 60156 | 2010-02-11 |
| 1336379882 | Sherry Lynn Bresnahan | Chiropractor | 330 Hiawatha Dr, Lake In The Hills, IL 60156-1421 | 2009-07-17 |
| 1225236714 | Precise Chiropractic Center | Chiropractor | 4581 Princeton Lane, Suite 119, Lake In The Hills, IL 60156 | 2007-07-05 |
| 1598866758 | Zunaid Munir Kagdi | Chiropractor | 43 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2006-09-26 |
| 1659309169 | William Alfred Kurzbuch | Chiropractor | 1520 Monroe St, Lake In The Hills, IL 60156-1053 | 2006-06-30 |
| 1417957184 | Robert W Hollett | Chiropractor | 61 Polaris Dr, Suite 1, Lake In The Hills, IL 60156-5606 | 2005-07-26 |
| 1356340772 | Anthony Vincent Gioia | Chiropractor | 1303 W Algonquin Rd, Lake In The Hills, IL 60156-3575 | 2005-07-18 |
| Find all providers in LAKE IN THE HILLS | ||||
| City | LAKE IN THE HILLS |
| Zip Code | 60156 |
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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.