Provider Demographics
NPI:1396841904
Name:HEALTH SOLUTIONS CHIROPRACTIC CENTER P.C.
Entity Type:Organization
Organization Name:HEALTH SOLUTIONS CHIROPRACTIC CENTER P.C.
Other - Org Name:COUNTRY CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CZARNECKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-782-1992
Mailing Address - Street 1:589A S YORK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-4463
Mailing Address - Country:US
Mailing Address - Phone:630-782-1992
Mailing Address - Fax:630-782-1990
Practice Address - Street 1:589A S YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-4463
Practice Address - Country:US
Practice Address - Phone:630-782-1992
Practice Address - Fax:630-782-1990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0005249541OtherAETNA
IL388823OtherPHCS
IL2232614OtherBLUE CROSS/ BLUE SHIELD
IL388823OtherPHCS