Provider Demographics
NPI:1073277364
Name:DROST, CHLOE ISABELLA (DC)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:ISABELLA
Last Name:DROST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 HINMAN AVE APT 5G
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-1820
Mailing Address - Country:US
Mailing Address - Phone:224-505-9464
Mailing Address - Fax:
Practice Address - Street 1:600 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-2801
Practice Address - Country:US
Practice Address - Phone:312-625-0845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-24
Last Update Date:2021-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor