Provider Demographics
NPI:1376552182
Name:CLAUSSEN, PHILIP E (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
Last Name:CLAUSSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JORIE BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:630-990-7246
Mailing Address - Fax:630-990-7417
Practice Address - Street 1:1000 JORIE BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-990-7246
Practice Address - Fax:630-990-7417
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038004969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02222028OtherBLUE CROSS BLUE SHIELD
IL885647OtherUNITED HEALTHCARE
IL02222028OtherBLUE CROSS BLUE SHIELD
IL885647OtherUNITED HEALTHCARE