Provider Demographics
NPI:1518158260
Name:ZANK CHIROPRACTIC AND WELLNESS CENTER LTD.
Entity Type:Organization
Organization Name:ZANK CHIROPRACTIC AND WELLNESS CENTER LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZANK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-649-1200
Mailing Address - Street 1:147 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:IL
Mailing Address - Zip Code:61520-2513
Mailing Address - Country:US
Mailing Address - Phone:309-649-1200
Mailing Address - Fax:
Practice Address - Street 1:147 W ELM ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:IL
Practice Address - Zip Code:61520-2513
Practice Address - Country:US
Practice Address - Phone:309-649-1200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038009939111N00000X
IL038009713111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty