Provider Demographics
NPI:1154448488
Name:CHIROPRACTIC HEALTH CENTER OF SCHAUMBURG, LTD
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CENTER OF SCHAUMBURG, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:SWISTOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-352-8970
Mailing Address - Street 1:1015 W WISE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-3777
Mailing Address - Country:US
Mailing Address - Phone:847-352-8970
Mailing Address - Fax:847-352-9020
Practice Address - Street 1:1015 W WISE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-3777
Practice Address - Country:US
Practice Address - Phone:847-352-8970
Practice Address - Fax:847-352-9020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38-004284111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT37597Medicare UPIN
IL662140Medicare ID - Type Unspecified
ILT37598Medicare UPIN
IL662010Medicare ID - Type Unspecified