Provider Demographics
NPI:1053649079
Name:FAMILY CHIROPRACTIC CARE,S.C.
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CARE,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZOBOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-458-7700
Mailing Address - Street 1:7355 ARCHER AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SUMMIT
Mailing Address - State:IL
Mailing Address - Zip Code:60501-1225
Mailing Address - Country:US
Mailing Address - Phone:708-458-7700
Mailing Address - Fax:708-777-4779
Practice Address - Street 1:7355 ARCHER AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SUMMIT
Practice Address - State:IL
Practice Address - Zip Code:60501-1225
Practice Address - Country:US
Practice Address - Phone:708-458-7700
Practice Address - Fax:708-777-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006981111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedicGroup - Single Specialty