Ioanna Dimova, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038013552 Issued in IL

Practice address

451 Dunham Rd
St Charles, IL 60174-1431

Phone

(630) 549-6474

NPI assigned

May 19, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evolve Chiropractic PLLCGroup PAC ID 0941500664, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evolve Chiropractic PLLC

  • Chiropractor
  • St Charles, IL
  • NPI 1013389014
  Medicare reassignment Care Compare group
• Evolve Chiropractic Palatine PLLC

  • Chiropractor
  • Palatine, IL
  • NPI 1861946923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1467075952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 DUNHAM RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741431",
            "telephone_number": "630-549-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOVA",
        "first_name": "IOANNA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickens, Mason & Kissell DDS LTD
• Anita Ann Dickerson, D.C.
• Katie Dickinson
• Brittany Dickson
• Stacey Digrazia, MS, LCPC
• Elisabeth Dinuzzo
• Marissa Dinuzzo
• Directions Counseling Center, LLC
• Richard Alan Disimoni, D.D.S.
• Justine Margaret Distefano, M.ED.

• Chiropractor in St Charles, IL
• Providers in St Charles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.