DR. DOUGLAS B BLUNK (NPI# 1891883153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891883153 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS B BLUNK |
| Credential | DC |
| Practice Address |
370 Houbolt Rd Suite #101 Joliet IL 64031-8303 |
| Mailing Address |
1222 Oregon Ave Joliet IL 60435-3717 |
| Practice Telephone | 8157419550 |
| Practice Fax Number | 8157411735 |
| Mailing Telephone | 8157411352 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38010573 | IL | Chiropractic Providers |
| Street Address |
370 HOUBOLT RD SUITE #101 |
| City | JOLIET |
| State | IL |
| Zip Code | 64031-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376637017 | Scott Clair Woodruff | Chiropractor | 370 Houbolt Rd, Ste 102, Joliet, IL 60431 | 2006-10-03 |
| 1720519002 | Alexandra M Piper | Optometrist | 370 Houbolt Rd, Joliet, IL 60431-8303 | 2017-03-27 |
| 1710431077 | Myeyedr Optometry of Illinois, LLC | Optometrist | 370 Houbolt Rd, Ste 102, Joliet, IL 60431-8303 | 2016-08-04 |
| 1013379684 | Matt Gozner | Counselor | 370 Houbolt Rd, Joliet, IL 60431-8303 | 2016-03-23 |
| 1912371824 | Chestnut Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 370 Houbolt Rd, Suite 101, Joliet, IL 60431-8303 | 2015-11-17 |
| 1619351715 | Michael Steven Russell | Optometrist | 370 Houbolt Rd, Suite 102, Joliet, IL 60431-8303 | 2015-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083653 | A First Step Towards Hope Aba Services | Behavioral Analyst | 1711 N Autumn Dr, Joliet, IL 60431-8530 | 2020-11-05 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1083220396 | Aeroflow Inc. | Durable Medical Equipment & Medical Supplies | 210 N Hammes Ave Ste 103a, Joliet, IL 60435-6688 | 2020-09-22 |
| 1033724232 | Shadequia Davis | Psychologist | 402 Richards St, Joliet, IL 60433-2218 | 2020-09-14 |
| 1104430198 | Laura Swayne | Counselor | 418 Jessie St, Joliet, IL 60433-2150 | 2020-09-07 |
| 1881208205 | Anna Grebska-compton | Massage Therapist | 307 Marigold Pl, Joliet, IL 60433-2119 | 2020-09-02 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1760091508 | Trinity Services Inc. | Clinic/Center | 210 N Hammes Ave Ste 204, Joliet, IL 60435-8139 | 2020-07-28 |
| 1053920249 | Hammond Psychological Services LLC | Psychologist | 2405 Essington Rd Ste B167, Joliet, IL 60435-1200 | 2020-07-23 |
| 1235756347 | Kendall Papa | Behavioral Analyst | 2601 Campbell St, Joliet, IL 60435-6407 | 2020-07-06 |
| Find all providers in JOLIET | ||||
| 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 |
|---|---|---|---|---|
| 1619536927 | Dale Anthony Mraz | Chiropractor | 823 N 129th Infantry Dr Ste 101, Joliet, IL 60435-8347 | 2019-06-10 |
| 1972966034 | Jose Carlo Martinez | Chiropractor | 2611 E Cass St, Joliet, IL 60432-9761 | 2016-04-05 |
| 1215314505 | Diana Martinez | Chiropractor | 2615 E Cass St, Joliet, IL 60432-9761 | 2015-05-06 |
| 1932548195 | Tyrah Tucker | Chiropractor | 2411 W Jefferson St, Joliet, IL 60435-6448 | 2013-06-21 |
| 1477803286 | Integrated Health Source S.c. | Chiropractor | 2411 West Jefferson Street, Joliet, IL 60435-6448 | 2012-09-19 |
| 1821370586 | Southwest Spine & Ortho Rehabilitation | Chiropractor | 2400 Glenwood Ave Ste 220, Joliet, IL 60435-5498 | 2011-09-19 |
| 1235437104 | Bolton Family Chiropractic Ltd | Chiropractor | 3581 Hennepin Dr, Joliet, IL 60431-9205 | 2011-03-02 |
| 1649572496 | Carissa M Baranoski | Chiropractor | 3037 Theodore St, Joliet, IL 60435-5191 | 2010-11-30 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1356678171 | Chiro One Wellness Center of Joliet LLC | Chiropractor | 2410 W Jefferson St, Ste 116, Joliet, IL 60435-6449 | 2009-11-16 |
| Find all providers in JOLIET | ||||
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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.