Provider Demographics
NPI:1356628853
Name:HEIMANN CHIROPRACTIC CLINIC, LTD
Entity Type:Organization
Organization Name:HEIMANN CHIROPRACTIC CLINIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOYLE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HEIMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-964-1130
Mailing Address - Street 1:1131 WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-3577
Mailing Address - Country:US
Mailing Address - Phone:630-964-1130
Mailing Address - Fax:630-964-1130
Practice Address - Street 1:1131 WARREN AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3577
Practice Address - Country:US
Practice Address - Phone:630-964-1130
Practice Address - Fax:630-964-1130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-004691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty