Provider Demographics
NPI:1245400886
Name:TORRES, ISMAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ISMAEL
Middle Name:
Last Name:TORRES
Suffix:
Gender:M
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:PO BOX 5977
Mailing Address - Street 2:DEPT. 20-3009
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60197-5977
Mailing Address - Country:US
Mailing Address - Phone:630-468-1831
Mailing Address - Fax:630-468-1834
Practice Address - Street 1:110 HANSEN BLVD
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-8985
Practice Address - Country:US
Practice Address - Phone:630-701-1450
Practice Address - Fax:630-701-1455
Is Sole Proprietor?:No
Enumeration Date:2008-03-11
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1501111N00000X
IL038011285111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor