Provider Demographics
NPI:1326165135
Name:AFFILIATED HEALTH CARE ASSOCIATES
Entity Type:Organization
Organization Name:AFFILIATED HEALTH CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAROSLAW
Authorized Official - Middle Name:
Authorized Official - Last Name:SLUSARENKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-862-4500
Mailing Address - Street 1:2229 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-4828
Mailing Address - Country:US
Mailing Address - Phone:773-862-4500
Mailing Address - Fax:773-862-4517
Practice Address - Street 1:2229 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-4828
Practice Address - Country:US
Practice Address - Phone:773-862-4500
Practice Address - Fax:773-862-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty