Provider Demographics
NPI:1255466009
Name:TURCOTTE, ERNEST C (DC)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:C
Last Name:TURCOTTE
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 1:605 S MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3341
Mailing Address - Country:US
Mailing Address - Phone:630-953-9355
Mailing Address - Fax:
Practice Address - Street 1:605 S MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-3341
Practice Address - Country:US
Practice Address - Phone:630-953-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor