PARK FOREST CHIROPRACTIC LTD. NPI 1598734295

NPI Information

  • NPI: 1598734295
  • Provider Name: PARK FOREST CHIROPRACTIC, LTD.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 386 FOREST BLVD
    PARK FOREST, IL
    ZIP 60466
  • Phone: (708) 481-1715

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NPI Details

PARK FOREST CHIROPRACTIC, LTD. is a chiropractor in Park Forest, 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 FOREST CHIROPRACTIC, LTD. NPI is 1598734295. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

386 FOREST BLVD
PARK FOREST, IL
ZIP 60466-005
Phone: (708) 481-1715
Fax: (708) 481-8915

The provider's authorized official is David Tyssen .
The authorized official title is Owner and has the following contact phone number (708) 481-1715.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 1/15/2008.

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
1111N00000XChiropractorILLINOISYes

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
11622660OTHERILLINOISBCBSIL
2486110MEDICARE PINILLINOIS

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: 3/30/2025

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