Provider Demographics
NPI:1457470924
Name:FREEBERG CHIROPRACTIC CENTER S.C.
Entity Type:Organization
Organization Name:FREEBERG CHIROPRACTIC CENTER S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:FREEBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-524-9947
Mailing Address - Street 1:202 S MARION ST
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3104
Mailing Address - Country:US
Mailing Address - Phone:708-524-9947
Mailing Address - Fax:708-524-8928
Practice Address - Street 1:202 S MARION ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-3104
Practice Address - Country:US
Practice Address - Phone:708-524-9947
Practice Address - Fax:708-524-8928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
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