Provider Demographics
NPI:1376044073
Name:EVENHOUSE CHIROPRACTIC SERVICES L.L.C.
Entity Type:Organization
Organization Name:EVENHOUSE CHIROPRACTIC SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:EVENHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-432-5741
Mailing Address - Street 1:1191 WHITEHALL ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4835
Mailing Address - Country:US
Mailing Address - Phone:630-432-5741
Mailing Address - Fax:
Practice Address - Street 1:442 SHERWOOD RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60526-1968
Practice Address - Country:US
Practice Address - Phone:708-354-9599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.013058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty