Provider Demographics
NPI:1114364536
Name:SEIDEL, ERIN M (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:SEIDEL
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 1:620 MCHENRY RD APT 105
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-9217
Mailing Address - Country:US
Mailing Address - Phone:847-800-3306
Mailing Address - Fax:847-541-2342
Practice Address - Street 1:620 MCHENRY RD APT 105
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-9217
Practice Address - Country:US
Practice Address - Phone:847-800-3306
Practice Address - Fax:847-541-2342
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor