BLOOMINGDALE CHIROPRACTIC CLINIC (NPI# 1962681080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962681080 |
| Entity Type | Organization |
| Organization Name | BLOOMINGDALE CHIROPRACTIC CLINIC |
| Practice Address |
209 E Army Trail Rd Glendale Heights IL 60139-1758 |
| Practice Telephone | 6309805640 |
| Practice Fax Number | 6309809835 |
| Mailing Telephone | 6309805640 |
| Mailing Fax Number | 6309809835 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | DR. JAMES A DEAN (OWNER) |
| Authorized Official Telephone | 6309805460 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
IL | Chiropractic Providers |
| Street Address |
209 E ARMY TRAIL RD |
| City | GLENDALE HEIGHTS |
| State | IL |
| Zip Code | 60139-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916242 | Tahseen M Moinuddin | Chiropractor | 209 E Army Trail Rd, Glendale Heights, IL 60139-1758 | 2006-06-30 |
| 1649354291 | Maher Ghattas | Chiropractor | 209 E Army Trail Rd, Glendale Heights, IL 60139-1758 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465909 | Jonathan Rieckmann | Home Health Aide | 1187 Harbor Court, Glendale Heights, IL 60139 | 2017-09-02 |
| 1265968333 | Alpha Omega Caregivers, Inc | Home Health | 292 Paddock Cir, Glendale Heights, IL 60139 | 2017-05-10 |
| 1508305327 | Elizabeth Antosz | Emergency Medical Technician, Basic | 2234 Lake Ridge Drive, Glendale Heights, IL 60139 | 2017-02-13 |
| 1700274412 | Ivelisse Torres | Interpreter | 1579 Floyd Brown Ln, Glendale Heights, IL 60139 | 2015-01-05 |
| 1659786069 | Polpain Interventional Pain Management Center Ltd. | Clinic/Center | 2090 Gladstone Dr., Unit B, Glendale Heights, IL 60139 | 2014-06-24 |
| 1699100156 | Katarzyna M Lazarczuk | Physical Therapist | 2190 Gledstone Drive, Unit B, Glendale Heights, IL 60139 | 2013-09-03 |
| 1063754232 | Dental Heights Dds PC | Dentist | 148 East Army Trail Road, Glendale Heights, IL 60139 | 2013-03-26 |
| 1306077466 | Sarah Elizabeth Del Gallo | Physical Therapy Assistant | 875 Roosevelt Road, Glen Ellyn, IL 60139 | 2009-08-06 |
| 1275796088 | Joseph P Nguyen | Pharmacist | 2164 Bloomingdale Road, Glendale Heights, IL 60139 | 2008-07-02 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| Find all providers in zip 60139 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965170 | Shashank Saxena | Chiropractor | 1580 Brittany Ln, Hoffman Estates, IL 60192-1666 | 2020-09-01 |
| 1265085575 | Paige Alexandria Enwright | Chiropractor | 100 N Waukegan Rd Ste 105, Lake Bluff, IL 60044-1600 | 2019-07-17 |
| 1912410044 | Steven Stachura | Chiropractor | 1543 S Randall Rd, Algonquin, IL 60102-5933 | 2017-11-11 |
| 1831332055 | Nixi Wellness | Chiropractor | 20 E. Jefferson St., #24, Naperville, IL 60540 | 2009-04-17 |
| 1356987168 | Alyssa Holum | Chiropractor | 1400 W Northwest Hwy, Palatine, IL 60067-1837 | 2019-11-27 |
| 1851661714 | Gerard Cicero Dc Faco PC | Chiropractor | 5700 W Fullerton Ave, Chicago, IL 60639-2307 | 2012-01-10 |
| 1962789545 | Eric Benjamin Ruble | Chiropractor | 1437 W Montrose Ave, A, Chicago, IL 60613-1348 | 2011-11-09 |
| 1891964375 | Bright Sun Health Care, Inc | Chiropractor | 1604 Sibley Blvd, Calumet City, IL 60409-2231 | 2008-02-28 |
| 1619151776 | Derek A Niehaus | Chiropractor | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2007-12-26 |
| 1356545859 | Kevin D Sager | Chiropractor | 102 S Christy Ave, Sumner, IL 62466-1027 | 2007-06-11 |
| Find all providers with the same taxonomy | ||||
| City | GLENDALE HEIGHTS |
| Zip Code | 60139 |
Please comment or provide details below to improve the information on BLOOMINGDALE CHIROPRACTIC CLINIC.
| 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.