DR. MARK DOUGLAS PATTERSON (NPI# 1922179647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922179647 |
| Entity Type | Individual |
| Full Name | DR. MARK DOUGLAS PATTERSON |
| Credential | D.C. |
| Practice Address |
1260 Iroquois Ave Suite110 Naperville IL 60563-1689 |
| Practice Telephone | 6309838455 |
| Practice Fax Number | 6309838452 |
| Mailing Telephone | 6309838455 |
| Mailing Fax Number | 6309838452 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HUMANA | 139433250640 | 01 |
| IL | 0380094550 | 05 | |
| IL | BLUECROSS BLUESHIELD | 08227869 | 01 |
| IL | AETNA | 7753355 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750753760 | Mark C. ''chris'' Patterson | Physician Assistant | Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 | 2015-10-29 |
| 1063590677 | Mark Allen Patterson | Obstetrics & Gynecology | 2657 Saklan Indian Dr Apt 2, Walnut Creek, CA 94595-3026 | 2006-11-01 |
| 1437145497 | Mark D Patterson | Surgery | 1410 Tusculum Blvd, Suite 1700, Greeneville, TN 37745-4286 | 2005-09-26 |
| 1275536831 | Mark Kenneth Patterson | Pediatrics | 4040 Postal Dr, Roanoke, VA 24018-6438 | 2005-05-27 |
| 1396105631 | Mark George Patterson | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2016-02-29 |
| 1902220155 | Mark Patterson | Case Manager/Care Coordinator | 500 Victory Rd, Quincy, MA 02171-3139 | 2014-02-08 |
| 1144513789 | Mark A Patterson Sr. | Chiropractor | 1010 N Tennessee St, Suite 116, Cartersville, GA 30120-8525 | 2011-05-16 |
| 1992914402 | Mark Patterson | Specialist | 2045 Franklin St, Denver, CO 80205-5437 | 2007-05-21 |
| 1942317276 | Mark Lewis Patterson | Family Medicine | 2415 Se 17th St, Ocala, FL 34471-2618 | 2006-08-24 |
| 1770503138 | Mark A Patterson | Physician Assistant | 820 N Chelan Ave, Wenatchee, WA 98801-2028 | 2006-07-20 |
| Street Address |
1260 IROQUOIS AVE SUITE110 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60563-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811449176 | Griselda Lopez | Behavior Technician | 1260 Iroquois Ave, Suite 306, Naperville, IL 60563-1689 | 2016-11-02 |
| 1609238583 | Kathryn Fasan | Behavioral Analyst | 1260 Iroquois Ave, Suite 306, Naperville, IL 60563-1689 | 2016-03-22 |
| 1275906786 | Instructional Aba Consultants Waiver Services | Community/Behavioral Health | 1260 Iroquois Ave, #306, Naperville, IL 60563-1689 | 2015-11-05 |
| 1609242841 | Catherine Lockerd | Behavioral Analyst | 1260 Iroquois Ave, Suite 306, Naperville, IL 60563-1689 | 2015-08-11 |
| 1992192009 | Kennedy Shontz | Behavioral Analyst | 1260 Iroquois Ave, Suite 306, Naperville, IL 60563-1689 | 2015-04-16 |
| 1073910469 | Diana J Walker | Behavioral Analyst | 1260 Iroquois Ave, Suite 306, Naperville, IL 60563-1689 | 2014-12-01 |
| 1427452879 | Kristin Francesco | Behavioral Analyst | 1260 Iroquois Ave, 306, Naperville, IL 60563-1689 | 2014-10-14 |
| 1184051716 | Elderly Muslim Care Action Network | In Home Supportive Care | 1260 Iroquois Ave, Suite 108, Naperville, IL 60563-1689 | 2013-09-27 |
| 1881874360 | Eunia Young Lee | Counselor | 1260 Iroquois Ave, Ste 102, Naperville, IL 60563-1689 | 2007-11-13 |
| 1679783310 | Robin Fan | Acupuncturist | 1260 Iroquois Ave, Ste 308, Naperville, IL 60563 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
| 1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
| 1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
| 1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
| 1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
| 1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
| 1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
| 1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
| 1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
| Find all providers in zip 60563 | ||||
| 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 |
|---|---|---|---|---|
| 1265042022 | Naperville Chiropractic and Massage | Chiropractor | 47 E Chicago Ave Ste 332, Naperville, IL 60540-5360 | 2020-08-06 |
| 1083246110 | Dr. Leah Rose LLC | Chiropractor | 1100 Sherman Ave Ste 105, Naperville, IL 60563-4855 | 2020-02-06 |
| 1659914984 | Dr. Jess Enderby LLC | Chiropractor | 1415 Bond St Ste 171, Naperville, IL 60563-2769 | 2019-10-18 |
| 1518518380 | Claire Trafton | Chiropractor | 1767 W Ogden Ave Ste 143, Naperville, IL 60540-5008 | 2019-09-24 |
| 1982257150 | Susan Kennedy | Chiropractor | 1220 W Ogden Ave Ste D, Naperville, IL 60563-3977 | 2019-07-17 |
| 1770041022 | Austin Warden | Chiropractor | 2531 W 75th St Ste 2531d, Naperville, IL 60540-9000 | 2019-03-06 |
| 1699244848 | Advanced Sport and Wellness Ltd | Chiropractor | 1805 N Mill St Ste E, Naperville, IL 60563-4860 | 2018-11-16 |
| 1902312390 | Timothy Faulkner, Dc | Chiropractor | 500 E Ogden Ave Ste 100, Naperville, IL 60563-3264 | 2017-12-20 |
| 1740714450 | Elite Recovery Chiropractic | Chiropractor | 43 Glencoe Ct, 101a, Naperville, IL 60565-2100 | 2017-04-19 |
| 1861840464 | William Bolster | Chiropractor | 524 W 5th Ave, Naperville, IL 60563-2901 | 2016-05-25 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60563 |
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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.