Provider Demographics
NPI:1508085994
Name:BYER CLINIC OF CHIROPRACTIC, LTD
Entity Type:Organization
Organization Name:BYER CLINIC OF CHIROPRACTIC, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-637-3933
Mailing Address - Street 1:1336 W ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3401
Mailing Address - Country:US
Mailing Address - Phone:847-637-3933
Mailing Address - Fax:847-637-3938
Practice Address - Street 1:1336 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3401
Practice Address - Country:US
Practice Address - Phone:847-637-3933
Practice Address - Fax:847-637-3938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
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
ILT38527Medicare UPIN
IL751900Medicare ID - Type Unspecified