Provider Demographics
NPI:1275779415
Name:ALL HART CHIROPRACTIC INC
Entity Type:Organization
Organization Name:ALL HART CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:217-942-9069
Mailing Address - Street 1:307 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:IL
Mailing Address - Zip Code:62016-1247
Mailing Address - Country:US
Mailing Address - Phone:217-942-9069
Mailing Address - Fax:217-942-6769
Practice Address - Street 1:307 6TH ST
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:IL
Practice Address - Zip Code:62016-1247
Practice Address - Country:US
Practice Address - Phone:217-942-9069
Practice Address - Fax:217-942-6769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007515261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service