DR. DAVID JOLLY (NPI# 1962045658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962045658 |
| Entity Type | Individual |
| Full Name | DR. DAVID JOLLY |
| Credential | DC |
| Practice Address |
1200 Old Skokie Valley Rd Highland Park IL 60035-3036 |
| Mailing Address |
8542 W Betty Ter Niles IL 60714-1833 |
| Practice Telephone | 8477488804 |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013455 | IL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8542 W Betty Ter, Niles, IL 607141833 | 8478778679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518279173 | David B Jolly | Internal Medicine | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2010-07-11 |
| Street Address |
1200 OLD SKOKIE VALLEY RD |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184038366 | Chicago Sport and Wellness | Chiropractor | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2014-06-16 |
| 1710505847 | Elite Sport Therapy & Wellness | Chiropractor | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2020-07-06 |
| 1922643071 | Bkpt, Inc. | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2019-11-13 |
| 1235603945 | Mickow Ce Physical Therapy, LLC | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2019-01-15 |
| 1962976670 | Chelsea Ellis | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2019-01-15 |
| 1235625195 | Brittany Korman | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2018-07-03 |
| 1891221685 | Resculpt Physical Therapy and Wellness LLC | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2017-05-11 |
| 1265814032 | Traci Heller Physical Therapy Group | Physical Therapist | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| 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 |
|---|---|---|---|---|
| 1184038366 | Chicago Sport and Wellness | Chiropractor | 1200 Old Skokie Valley Rd, Highland Park, IL 60035-3036 | 2014-06-16 |
| 1598005662 | Moore Mobile Chiropractic Sc | Chiropractor | 658 Broadview Ave, Highland Park, IL 60035-4833 | 2013-02-26 |
| 1255654208 | Gerald H Roth | Chiropractor | 325 Crowells Rd Apt B, Highland Park, NJ 08904-3346 | 2010-03-04 |
| 1184867731 | Davis Chiropractic | Chiropractor | 332 Skokie Valley Rd Ste 102, Highland Park, IL 60035-4457 | 2009-04-13 |
| 1306082698 | Dr. Bradley T. Friel, P.C. | Chiropractor | 1964 Sheridan Rd Ste 1, Highland Park, IL 60035-2541 | 2008-12-17 |
| 1518085687 | Robert G Berkowitz | Chiropractor | 34 Woodbridge Ave, Highland Park, NJ 08904-3234 | 2007-03-27 |
| 1114061710 | Wayne Rebarber | Chiropractor | 307 Raritan Ave, Highland Park, NJ 08904-2701 | 2007-02-16 |
| 1447390612 | Jeffrey David Henson | Chiropractor | 1732 1st St, Highland Park, IL 60035-3202 | 2007-02-07 |
| 1922151901 | Bradley Friel | Chiropractor | 1950 Sheridan Rd Ste 201, Highland Park, IL 60035-2530 | 2007-01-21 |
| 1548321912 | Schick Chiropractic Center, LLC | Chiropractor | 317 Cleveland Avenue, Highland Park, NJ 08904 | 2006-12-12 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on DR. DAVID JOLLY.
| 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.