MEDICARE: JONATHAN THAO DC

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	038.014155	IL

General Provider Information

NPI Number	:	1922807098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN THAO DC

Provider Business Mailing Address
First Line	:	2625 BUTTERFIELD RD STE 301N
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1266
Country	:	US
Telephone Number	:	630-468-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	962 S RANDALL RD STE F
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-1572
Country	:	US
Telephone Number	:	630-523-0504
Fax Number	:

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

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/11/2025

Similar Medicare Providers

1245761436 — LACIE DRENNAN D.C.
Practice Location Address:

962 S RANDALL RD STE F
ST CHARLES, IL
60174-1572

Practice Phone: 630-443-0400
Practice Fax: 630-468-1478

1194724849 — JAMES GREGORY LICSW
Practice Location Address:

116 W WASHINGTON ST , SUITE 2C
CHARLES TOWN, WV
25414-1572

Practice Phone: 304-728-8282
Practice Fax: 304-728-8253

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

Directions to “ JONATHAN THAO DC” 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.