Provider Demographics
NPI:1356310288
Name:ASHLEY FRER D.C. LTD
Entity Type:Organization
Organization Name:ASHLEY FRER D.C. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-325-9010
Mailing Address - Street 1:3221 N SHEFFIELD AVE
Mailing Address - Street 2:# C-1S
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-8510
Mailing Address - Country:US
Mailing Address - Phone:773-325-9010
Mailing Address - Fax:773-404-5172
Practice Address - Street 1:3221 N SHEFFIELD AVE
Practice Address - Street 2:# C-1S
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-8510
Practice Address - Country:US
Practice Address - Phone:773-325-9010
Practice Address - Fax:773-404-5172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009436111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1627873OtherBCBSIL