Provider Type Icon

HIGHLAND PARK CHIROPRACTIC SC NPI 1255638680

NPI Profile

NPI: 1255638680

Provider Name: HIGHLAND PARK CHIROPRACTIC, SC

Classification: Chiropractor (111N00000X)

Entity Type: Organization

Address:
600 CENTRAL AVE
SUITE 144
HIGHLAND PARK, IL
ZIP 60035

Phone: (312) 337-4004

HIGHLAND PARK CHIROPRACTIC, SC is a chiropractor in Highland 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. HIGHLAND PARK CHIROPRACTIC, SC NPI is 1255638680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 CENTRAL AVE
SUITE 144
HIGHLAND PARK, IL
ZIP 60035-211
Phone: (312) 337-4004
Fax: (312) 337-4060

The provider's authorized official is Steven David Goodman .
The authorized official title is Director and has the following contact phone number (561) 213-7666.

The enumeration date for this NPI number is 2/21/2011 and was last updated on 2/21/2011.

Map - Location of Practice

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
1 111N00000X Chiropractor 038-007969 ILLINOIS Yes

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: 5/13/2015