Provider Demographics
NPI:1215385075
Name:GOODDAY CHIROPRACTIC&REHAB
Entity Type:Organization
Organization Name:GOODDAY CHIROPRACTIC&REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:HYUNG SOO
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-912-2574
Mailing Address - Street 1:925 N PLUM GROVE RD
Mailing Address - Street 2:STE A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4807
Mailing Address - Country:US
Mailing Address - Phone:630-912-2574
Mailing Address - Fax:630-912-2575
Practice Address - Street 1:925 N PLUM GROVE RD
Practice Address - Street 2:STE A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4807
Practice Address - Country:US
Practice Address - Phone:630-912-2574
Practice Address - Fax:630-912-2575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012005111NR0400X
171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty