Provider Demographics
NPI:1376659086
Name:FAMILY CHIROPRACTIC CENTER, LTD
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HORAN ANAYA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-539-6705
Mailing Address - Street 1:253 BUNTING LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1423
Mailing Address - Country:US
Mailing Address - Phone:630-539-6705
Mailing Address - Fax:630-539-7159
Practice Address - Street 1:253 BUNTING LN
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1423
Practice Address - Country:US
Practice Address - Phone:630-539-6705
Practice Address - Fax:630-539-7159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL935450Medicare ID - Type UnspecifiedMEDICARE NUMBER