Provider Type Icon

PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS S.C. NPI 1104980358


NPI Information

NPI: 1104980358
Provider Name: PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1011 LAKE ST
SUITE 407
OAK PARK, IL
ZIP 60301
Phone: (708) 848-8122
Get Directions

PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C. is a chiropractor in Oak Park, IL. The provider is 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. PAUL C. ELLSTEIN CHIROPRACTIC PHYSICIANS, S.C. NPI is 1104980358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1011 LAKE ST
SUITE 407
OAK PARK, IL
ZIP 60301-148
Phone: (708) 848-8122
Fax: (708) 848-8109

The provider's authorized official is Paul Clifford Ellstein .
The authorized official title is President and has the following contact phone number (708) 848-8122.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 7/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor038-004815ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1209635MEDICARE PINILLINOIS
231601167OTHERILLINOISBCBS PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.