Provider Demographics
NPI:1467538850
Name:EL-SALEH, NIVEEN HASAN (DC)
Entity Type:Individual
Prefix:
First Name:NIVEEN
Middle Name:HASAN
Last Name:EL-SALEH
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 1:4403 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-5659
Mailing Address - Country:US
Mailing Address - Phone:773-561-7966
Mailing Address - Fax:773-561-7918
Practice Address - Street 1:4403 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-5659
Practice Address - Country:US
Practice Address - Phone:773-561-7966
Practice Address - Fax:773-561-7918
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor