Provider Demographics
NPI:1235492448
Name:DREAS FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:DREAS FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:DREAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-327-2000
Mailing Address - Street 1:1527 S MILL ST
Mailing Address - Street 2:P.O. BOX 27
Mailing Address - City:NASHVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62263-2072
Mailing Address - Country:US
Mailing Address - Phone:618-327-2000
Mailing Address - Fax:
Practice Address - Street 1:1527 S MILL ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:IL
Practice Address - Zip Code:62263-2072
Practice Address - Country:US
Practice Address - Phone:618-327-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-21
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.010934111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty