Provider Demographics
NPI:1538294749
Name:ALTERNATIVE CARE CENTER INC
Entity Type:Organization
Organization Name:ALTERNATIVE CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:CLEMENT
Authorized Official - Last Name:DELARYE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-329-9588
Mailing Address - Street 1:4711 GOLF RD
Mailing Address - Street 2:SUITE 413
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1224
Mailing Address - Country:US
Mailing Address - Phone:847-329-9588
Mailing Address - Fax:847-329-9606
Practice Address - Street 1:4711 GOLF RD
Practice Address - Street 2:SUITE 413
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1224
Practice Address - Country:US
Practice Address - Phone:847-329-9588
Practice Address - Fax:847-329-9606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038005444111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty