Provider Demographics
NPI:1508967399
Name:ILK, AARON A (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:A
Last Name:ILK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 112TH AVE NE
Mailing Address - Street 2:E165
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3752
Mailing Address - Country:US
Mailing Address - Phone:425-827-2302
Mailing Address - Fax:425-454-2579
Practice Address - Street 1:1750 112TH AVE NE
Practice Address - Street 2:E165
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3752
Practice Address - Country:US
Practice Address - Phone:425-827-2302
Practice Address - Fax:425-454-2579
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA025202CH00003665111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMP903367OtherNCMIC
WAAARILK2059OtherAWHN
WA132808OtherLABOR AND INDUSTRIES
WAMP903367OtherNCMIC
WA8854313Medicare ID - Type Unspecified