MEDICARE: DR. JOSEPH KOSTOCK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038003830	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4906084	OTHER	IL	BLUECROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1134223860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH KOSTOCK D.C.

Provider Business Mailing Address
First Line	:	5323 E WONDER LAKE RD
Second Line	:
City	:	WONDER LAKE
State	:	IL
Zip	:	60097-9051
Country	:	US
Telephone Number	:	815-653-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	5323 E WONDER LAKE RD
Second Line	:
City	:	WONDER LAKE
State	:	IL
Zip	:	60097-9051
Country	:	US
Telephone Number	:	815-653-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1205921558 — DR. KIRSTEN F REAY D.C.
Practice Location Address:

5323 E WONDER LAKE RD
WONDER LAKE, IL
60097-9051

Practice Phone: 815-653-0077
Practice Fax:

1114363322 — DENNIS R ZIDEK DC
Practice Location Address:

5323 E WONDER LAKE RD
WONDER LAKE, IL
60097-9051

Practice Phone: 815-728-0300
Practice Fax: 815-728-1515

1134541428 — WONDER LAKE CHIROPRACTIC, LLC
Practice Location Address:

5323 E WONDER LAKE RD
WONDER LAKE, IL
60097-9051

Practice Phone: 815-728-0300
Practice Fax: 815-728-1515

1679659288 — ARGENTINE CARE CENTER, INC.
Practice Location Address:

9051 SILVER LAKE RD
LINDEN, MI
48451-9730

Practice Phone: 810-735-9487
Practice Fax: 810-735-9035

1629468913 — BRIANNA VINCENT PA-C
Practice Location Address:

2105 JUNIPER LAKE RD STE A
WEST END, NC
27376-9051

Practice Phone: 910-684-1588
Practice Fax:

1063952901 — SWIFT WHEELS TRANSPORTATION SERVICES , LLC
Practice Location Address:

3018 LAKE FOREST DR
UPPER MARLBORO, MD
20774-9051

Practice Phone: 443-839-6164
Practice Fax:

Directions to “ DR. JOSEPH KOSTOCK D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.