Provider Demographics
NPI:1346715166
Name:HOLISTIC CHIROPRACTIC CENTER OF CHICAGO LLC
Entity Type:Organization
Organization Name:HOLISTIC CHIROPRACTIC CENTER OF CHICAGO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-494-8684
Mailing Address - Street 1:8837 MAJOR AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2531
Mailing Address - Country:US
Mailing Address - Phone:847-494-8684
Mailing Address - Fax:
Practice Address - Street 1:8837 MAJOR AVE
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2531
Practice Address - Country:US
Practice Address - Phone:847-494-8684
Practice Address - Fax:847-967-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty