DEYO CHIROPRACTIC CENTER LTD (NPI# 1932383734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932383734 |
Entity Type | Organization |
Organization Name | DEYO CHIROPRACTIC CENTER LTD |
Practice Address |
702 S East St Mount Carroll IL 61053 |
Mailing Address |
702 S East St Po Box 147 Mt Carroll IL 61053 |
Practice Telephone | 8152442091 |
Mailing Telephone | 8152442091 |
Enumeration Date | 2007-12-28 |
Last Update Date | 2007-12-28 |
Authorized Official Name | DR. RONALD A DEYO (OWNER) |
Authorized Official Telephone | 8152442091 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
IL | Ambulatory Health Care Facilities |
Street Address |
702 S EAST ST |
City | MOUNT CARROLL |
State | IL |
Zip Code | 61053 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700321452 | Holly M Koser | Social Worker | 1126 Healthcare Drive, Mt Carroll, IL 61053 | 2017-01-04 |
1316590649 | Amy Wiltshire | Social Worker | 1122 Healthcare Dr, Mt Carroll, IL 61053 | 2019-07-16 |
1538582382 | Sharshon Pharmacy, Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053 | 2014-01-30 |
1396802336 | Ronald Adrian Deyo | Chiropractor | 18158 Il Rt 40 South, Mt Carroll, IL 61053-0147 | 2007-01-02 |
1598760902 | Pharmacy Center Inc. | Pharmacy | 101 W Market St, Mount Carroll, IL 61053-1031 | 2005-06-14 |
1467547109 | John Allan Hutchison | Pharmacist | 101 W Market St, Mount Carroll, IL 61053-1031 | 2006-10-04 |
1558759407 | Karri Kloepping | Physician Assistant | 106 E Market St, Mount Carroll, IL 61053-1108 | 2014-12-30 |
1952463705 | County of Carroll | Clinic/Center | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2006-12-15 |
1962837195 | Kathleen Allen | Registered Nurse | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2013-09-06 |
1780956656 | Jennifer Miller | Registered Nurse | 822 S Mill St, Mount Carroll, IL 61053-1243 | 2012-02-07 |
Find all providers in zip 61053 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
Find all providers with the same taxonomy |
City | MOUNT CARROLL |
Zip Code | 61053 |
Please comment or provide details below to improve the information on DEYO CHIROPRACTIC CENTER LTD.
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.