PARK RIDGE CHIROPRACTIC NPI 1043437015

NPI Information

  • NPI: 1043437015
  • Provider Name: PARK RIDGE CHIROPRACTIC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 32 MAIN ST
    SUITE B
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 318-1144

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NPI Details

PARK RIDGE CHIROPRACTIC is a chiropractor in Park Ridge, 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. PARK RIDGE CHIROPRACTIC NPI is 1043437015. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

32 MAIN ST
SUITE B
PARK RIDGE, IL
ZIP 60068
Phone: (847) 318-1144
Fax: (847) 318-8866

The provider's authorized official is Elidia Bahenna .
The authorized official title is Office Manager and has the following contact phone number (847) 318-1144.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 5/16/2008.

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
1111N00000XChiropractorYes

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
1215354OTHERILLINOISMEDICARE
201636992OTHERILLINOISBCBS

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: 11/21/2025

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