Provider Demographics
NPI:1285858209
Name:FAMILY CHIROPRACTIC HEALTH CARE CENTER PC
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC HEALTH CARE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-532-6500
Mailing Address - Street 1:6787 W 159TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477
Mailing Address - Country:US
Mailing Address - Phone:708-532-6500
Mailing Address - Fax:708-532-4158
Practice Address - Street 1:6787 W 159TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477
Practice Address - Country:US
Practice Address - Phone:708-532-6500
Practice Address - Fax:708-532-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01620392OtherBC
IL2323939OtherCIGNA
IL382510Medicare ID - Type Unspecified
IL01620392OtherBC