ADVANCED PHYSICAL MEDICINE OF SAINT CHARLES (NPI# 1831112176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831112176 |
| Entity Type | Organization |
| Organization Name | ADVANCED PHYSICAL MEDICINE OF SAINT CHARLES |
| Practice Address |
40w201 Wasco Rd Ste Ab St Charles IL 60175-8509 |
| Practice Telephone | 6303777788 |
| Practice Fax Number | 6303777802 |
| Mailing Telephone | 8477175110 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | DAVID AARON WILLIAMSON (OWNER) |
| Authorized Official Telephone | 6303777788 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 042-617844 | IL | Allopathic & Osteopathic Physicians |
| Y | 111N00000X | Chiropractor | 042-617844 | IL | Chiropractic Providers |
| Street Address |
40W201 WASCO RD STE AB |
| City | ST CHARLES |
| State | IL |
| Zip Code | 60175-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518139906 | Andrew Raymond Glenn | Chiropractor | 40w201 Wasco Rd, Ste Ab, St Charles, IL 60175-8509 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740733138 | Ryan Paul Kuebler | Dentist | 40w320 La Fox Rd., Suite D, St Charles, IL 60175 | 2016-08-02 |
| 1346602554 | Erica Witkowski | Specialist/Technologist | 6n 370 Crescent Lane, Saint Charles, IL 60175 | 2016-03-26 |
| 1437495728 | Bradley S Murison | Physical Therapist | 3381 W State St., Suite 100, St Charles, IL 60175 | 2012-12-14 |
| 1942507355 | Fox River & Countryside Fire/rescue District | Ambulance | 35w350 Carl Lee Road, St Charles, IL 60175 | 2011-02-21 |
| 1871825984 | Fay E Jackson | Counselor | 3140 W Route 64, St. Charles, IL 60175 | 2010-02-01 |
| 1801126941 | Philip James Kocisko | Counselor | 3140 W. Route 64, Saint Charles, IL 60175 | 2010-01-13 |
| 1891971529 | Caroline M Bollentino | Speech-Language Pathologist | 40w310 La Fox Rd, Suite A1-b1, St Charles, IL 60175 | 2008-01-11 |
| 1770783599 | Joy O Urubusi | Psychiatry & Neurology | 3825 Campton Hills Road, St Charles, IL 60175 | 2007-07-19 |
| 1225236052 | Anna Almase Medina | Dentist | 2445 Dean, 1c, St Charles, IL 60175 | 2007-07-03 |
| 1467666453 | Shelly Sinatra | Nurse Practitioner | 3310 W. Main St, Suite 200, St. Charles, IL 60175 | 2007-05-09 |
| Find all providers in zip 60175 | ||||
| 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 |
|---|---|---|---|---|
| 1639700776 | Longevity Health and Fitness, Inc. | Chiropractor | 1150 N 5th Ave Ste B2, St Charles, IL 60174-1277 | 2020-01-28 |
| 1659901296 | Alysha Alonzo | Chiropractor | 451 Dunham Rd Ste 700, St Charles, IL 60174-1444 | 2020-01-23 |
| 1174174122 | Quast Dc Ltd | Chiropractor | 451 Dunham Rd Ste G, St Charles, IL 60174-1431 | 2019-09-21 |
| 1497228746 | Runyan Chiropractic LLC | Chiropractor | 1607 E Main St Ste A, St Charles, IL 60174-2390 | 2019-01-09 |
| 1639644115 | C&s Health LLC | Chiropractor | 1450 W Main St Ste G, St Charles, IL 60174-1679 | 2018-10-10 |
| 1710487756 | Kimbra Nicole Runyan | Chiropractor | 1607 E Main St Ste 2a, St Charles, IL 60174-2390 | 2018-02-16 |
| 1609397983 | Tmj and Sleep Therapy Centre of Chicago LLC | Chiropractor | 700 E Main St Ste A, St Charles, IL 60174-2200 | 2017-06-27 |
| 1215373857 | Phillip Andrew Gamble | Chiropractor | 409 Illinois Ave Unit 1c, St Charles, IL 60174-2966 | 2013-05-21 |
| 1356686695 | Colleen Marie Horn | Chiropractor | 1750 E Main St Ste 140, St Charles, IL 60174-2363 | 2012-11-27 |
| 1730449315 | Michael Pica P.C. | Chiropractor | 4n701 School Rd Ste A, St Charles, IL 60175-6508 | 2012-05-17 |
| Find all providers in ST CHARLES | ||||
| City | ST CHARLES |
| Zip Code | 60175 |
Please comment or provide details below to improve the information on ADVANCED PHYSICAL MEDICINE OF SAINT CHARLES.
| 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.