Provider Demographics
NPI:1114084415
Name:SCHOR, TIMOTHY EVERETT (DC)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:EVERETT
Last Name:SCHOR
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 1:6787 W 159TH STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477
Mailing Address - Country:US
Mailing Address - Phone:708-532-6500
Mailing Address - Fax:708-532-4158
Practice Address - Street 1:6787 W 159TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477
Practice Address - Country:US
Practice Address - Phone:708-532-6500
Practice Address - Fax:708-532-4158
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2323939OtherCIGNA
IL01620392OtherBCBS OF IL
IL382510Medicare ID - Type Unspecified
IL2323939OtherCIGNA