Provider Demographics
NPI:1245424571
Name:STRUEBING, KENT PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:KENT
Middle Name:PATRICK
Last Name:STRUEBING
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 1:1102 S ROSELLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4081
Mailing Address - Country:US
Mailing Address - Phone:847-301-7304
Mailing Address - Fax:
Practice Address - Street 1:1102 S ROSELLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4081
Practice Address - Country:US
Practice Address - Phone:847-301-7304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor