Provider Demographics
NPI:1245586064
Name:THE CHIROPRACTIC PLACE LLC
Entity Type:Organization
Organization Name:THE CHIROPRACTIC PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:CZARNIEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-781-9511
Mailing Address - Street 1:1935 95TH ST
Mailing Address - Street 2:SUITE 115
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9684
Mailing Address - Country:US
Mailing Address - Phone:630-781-9511
Mailing Address - Fax:630-718-9868
Practice Address - Street 1:849 S RIDGE RD
Practice Address - Street 2:
Practice Address - City:MINOOKA
Practice Address - State:IL
Practice Address - Zip Code:60447-8807
Practice Address - Country:US
Practice Address - Phone:630-781-9511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty