Provider Demographics
NPI:1366623167
Name:BODY AND SOUL HEALTH CARE P C
Entity Type:Organization
Organization Name:BODY AND SOUL HEALTH CARE P C
Other - Org Name:SHEILA DAWN ROBINSON, D C
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-532-6450
Mailing Address - Street 1:16756 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2716
Mailing Address - Country:US
Mailing Address - Phone:708-532-6450
Mailing Address - Fax:
Practice Address - Street 1:16756 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2716
Practice Address - Country:US
Practice Address - Phone:708-532-6450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK11217Medicare UPIN
IL210103Medicare PIN