Provider Demographics
NPI:1205043056
Name:PRINTERS ROW CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:PRINTERS ROW CHIROPRACTIC, LTD
Other - Org Name:CORE HEALTH AND REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SIKORA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-642-8999
Mailing Address - Street 1:1129 SCHNEIDER AVE
Mailing Address - Street 2:2
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1637
Mailing Address - Country:US
Mailing Address - Phone:708-642-8999
Mailing Address - Fax:708-642-8999
Practice Address - Street 1:700 E OGDEN AVE
Practice Address - Street 2:#111
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-5569
Practice Address - Country:US
Practice Address - Phone:708-642-8999
Practice Address - Fax:708-642-8999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty