Provider Demographics
NPI:1427363134
Name:PLANET CHIRO WEST DUNDEE INC.
Entity Type:Organization
Organization Name:PLANET CHIRO WEST DUNDEE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-820-1330
Mailing Address - Street 1:3015 E NEW YORK ST STE A11
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5163
Mailing Address - Country:US
Mailing Address - Phone:630-820-1330
Mailing Address - Fax:630-820-1554
Practice Address - Street 1:758 S 8TH ST
Practice Address - Street 2:
Practice Address - City:WEST DUNDEE
Practice Address - State:IL
Practice Address - Zip Code:60118-2102
Practice Address - Country:US
Practice Address - Phone:847-836-5202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-010110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty