Provider Demographics
NPI:1114249448
Name:MAJOR CHIROPRACTIC & SPORTS SCIENCE LTD.
Entity Type:Organization
Organization Name:MAJOR CHIROPRACTIC & SPORTS SCIENCE LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-580-5029
Mailing Address - Street 1:640 E SAINT CHARLES RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3083
Mailing Address - Country:US
Mailing Address - Phone:630-580-5029
Mailing Address - Fax:630-580-5031
Practice Address - Street 1:640 E SAINT CHARLES RD
Practice Address - Street 2:SUITE 103
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-3083
Practice Address - Country:US
Practice Address - Phone:630-580-5029
Practice Address - Fax:630-580-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-006340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL203943Medicare UPIN