AXIS MEDICAL MANAGEMENT GOUP SC (NPI# 1932221397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932221397 |
| Entity Type | Organization |
| Organization Name | AXIS MEDICAL MANAGEMENT GOUP SC |
| Other Organization Name | NEW LIFE MEDICAL CENTER |
| Practice Address |
4111 W 26th St Suite 110 Chicago IL 60623-4313 |
| Practice Telephone | 7735421111 |
| Practice Fax Number | 7735427100 |
| Mailing Telephone | 7735421111 |
| Mailing Fax Number | 7735427100 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | JAN STRUWE (OFFICE MANAGER) |
| Authorized Official Telephone | 7735421111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
042.618397038.01 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD ID | 1634898 | 01 |
| Other Name | Type Code |
|---|---|
| New Life Medical Center | Doing Business As Name - Organization |
| Street Address |
4111 W 26TH ST SUITE 110 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-4313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811966104 | Terence K Patrick | Chiropractor | 4111 W 26th St, Chicago, IL 60623-4313 | 2006-03-17 |
| 1447526678 | Dariusz Bialon | Chiropractor | 4111 W 26th St, Ste 110, Chicago, IL 60623-4313 | 2012-04-02 |
| 1831372044 | M & R Rudra Incorporated | Chiropractor | 4111 W 26th St, Ste 110, Chicago, IL 60623-4313 | 2007-12-11 |
| 1912021171 | Health Management Services, Inc. | Durable Medical Equipment & Medical Supplies | 4111 W 26th St, Ste 100 W, Chicago, IL 60623-4313 | 2007-03-16 |
| 1841364395 | Aldrin C Carrion | Chiropractor | 4111 W 26th St, Chicago, IL 60623-4313 | 2006-11-17 |
| 1467556522 | Oak Brook Center for Health II | Obstetrics & Gynecology | 4111 W 26th St, Chicago, IL 60623-4313 | 2006-09-11 |
| 1467498022 | Manish D Pandya | Chiropractor | 4111 W 26th St, Chicago, IL 60623-4313 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1669878781 | Laura Cayce | Chiropractor | 4312 N Lincoln Ave, Chicago, IL 60618-1712 | 2014-11-17 |
| 1538595855 | Yashar Ghoreshi | Chiropractor | 2016 W Chicago Ave Fl 1, Chicago, IL 60622-5548 | 2013-09-18 |
| 1366711095 | Sinapsis LLC | Chiropractor | 5934 W Eastwood Ave, 3rd Floor, Chicago, IL 60630-3105 | 2011-12-27 |
| 1528399359 | Midcity Spine and Ortho Rehabilitation | Chiropractor | 4332 S Pulaski Rd, Chicago, IL 60632-4009 | 2010-01-19 |
| 1427294024 | Spinerehabcenter | Chiropractor | 5019 W Lawrence Ave, Chicago, IL 60630-3800 | 2009-01-02 |
| 1619125432 | Jonathan A Mackoff | Chiropractor | 730 N Franklin St, Suite 620, Chicago, IL 60654-3563 | 2008-09-04 |
| 1801086004 | Sherman Clay II | Chiropractor | 7141 S. Jeffery Blvd, Suite 12, Chicago, IL 60649 | 2007-07-25 |
| 1972726438 | Avanzado Quiropractico Sc | Chiropractor | 646 W Wellington Ave, Suite # 2e, Chicago, IL 60657-9329 | 2007-04-11 |
| 1801918768 | Jeffrey Michael Haynes | Chiropractor | 4821 N Damen Ave Unit 1, Chicago, IL 60625-1445 | 2007-04-04 |
| Find all providers in CHICAGO | ||||
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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.