Provider Demographics
NPI:1235407339
Name:VIATRIX HEALTH, S.C.
Entity Type:Organization
Organization Name:VIATRIX HEALTH, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONI
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:CHERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-293-9095
Mailing Address - Street 1:600 E BLAIR ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-3474
Mailing Address - Country:US
Mailing Address - Phone:630-293-9095
Mailing Address - Fax:630-293-9118
Practice Address - Street 1:600 E BLAIR ST
Practice Address - Street 2:
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-3474
Practice Address - Country:US
Practice Address - Phone:630-293-9095
Practice Address - Fax:630-293-9118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty