Provider Demographics
NPI:1164426789
Name:HOVI, LUCINDA J (DC)
Entity Type:Individual
Prefix:DR
First Name:LUCINDA
Middle Name:J
Last Name:HOVI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LUCINDA
Other - Middle Name:J
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1400 N SEMINARY AVE
Mailing Address - Street 2:SUITE K
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2980
Mailing Address - Country:US
Mailing Address - Phone:815-338-9150
Mailing Address - Fax:815-337-0279
Practice Address - Street 1:1400 N SEMINARY AVE
Practice Address - Street 2:STE K
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-2980
Practice Address - Country:US
Practice Address - Phone:815-338-9150
Practice Address - Fax:815-337-0279
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038004872111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T38043Medicare UPIN
ILL39565Medicare PIN