Provider Demographics
NPI:1215021761
Name:HOYLE, MARIANNE (DC)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:HOYLE
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 1:2362 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:61571-1855
Mailing Address - Country:US
Mailing Address - Phone:309-745-3280
Mailing Address - Fax:309-745-8612
Practice Address - Street 1:2362 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IL
Practice Address - Zip Code:61571-1855
Practice Address - Country:US
Practice Address - Phone:309-745-3280
Practice Address - Fax:309-745-3145
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL535950Medicare UPIN