Provider Demographics
NPI:1447229364
Name:BABIAR CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:BABIAR CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BABIAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-488-1600
Mailing Address - Street 1:460 BRIARGATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-2227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:460 BRIARGATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-2227
Practice Address - Country:US
Practice Address - Phone:847-488-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4532186OtherBCBSIL
U69124Medicare UPIN
IL209772Medicare ID - Type Unspecified