Provider Demographics
NPI:1407890627
Name:ENGEL, ELIZABETH ERIN (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ERIN
Last Name:ENGEL
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 1:1626 W COLONIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4793
Mailing Address - Country:US
Mailing Address - Phone:847-202-8400
Mailing Address - Fax:
Practice Address - Street 1:1626 W COLONIAL PKWY
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4793
Practice Address - Country:US
Practice Address - Phone:847-202-8400
Practice Address - Fax:847-202-8420
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010313111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor