Provider Demographics
NPI:1407014400
Name:HUBSKY, HOLLY D (DC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:D
Last Name:HUBSKY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:956 N NELTNOR BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-5982
Mailing Address - Country:US
Mailing Address - Phone:630-293-1644
Mailing Address - Fax:630-293-2940
Practice Address - Street 1:956 N NELTNOR BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-5982
Practice Address - Country:US
Practice Address - Phone:630-293-1644
Practice Address - Fax:630-293-2940
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor