Provider Demographics
NPI:1013559954
Name:AIKENHEAD, JOHN C (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:AIKENHEAD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WHEATON CTR APT 201
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4994
Mailing Address - Country:US
Mailing Address - Phone:630-373-9751
Mailing Address - Fax:
Practice Address - Street 1:533 S YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3951
Practice Address - Country:US
Practice Address - Phone:630-833-4437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038013452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor