Provider Demographics
NPI:1346875861
Name:CHRISTOPHER A HASLETT DC P.C
Entity Type:Organization
Organization Name:CHRISTOPHER A HASLETT DC P.C
Other - Org Name:RIVER NORTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HASLETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-329-9395
Mailing Address - Street 1:400 N WELLS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-2761
Mailing Address - Country:US
Mailing Address - Phone:312-329-9395
Mailing Address - Fax:
Practice Address - Street 1:400 N WELLS ST STE 300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-2761
Practice Address - Country:US
Practice Address - Phone:312-329-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty