Provider Demographics
NPI:1093795817
Name:DOOLEY, SCOTT S (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:S
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:935 LAKEVIEW PKWY
Mailing Address - Street 2:110
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-1443
Mailing Address - Country:US
Mailing Address - Phone:847-932-1079
Mailing Address - Fax:847-932-1082
Practice Address - Street 1:935 LAKEVIEW PKWY
Practice Address - Street 2:110
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1443
Practice Address - Country:US
Practice Address - Phone:847-932-1079
Practice Address - Fax:847-932-1082
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3177111N00000X
WI3953-012111N00000X
IL038012136111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor