Provider Demographics
NPI:1558527234
Name:HOLISTIC HEALTH AND NUTRITION CENTER, INC.
Entity Type:Organization
Organization Name:HOLISTIC HEALTH AND NUTRITION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-430-4253
Mailing Address - Street 1:1102 S ROSELLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4081
Mailing Address - Country:US
Mailing Address - Phone:630-351-8100
Mailing Address - Fax:847-301-7304
Practice Address - Street 1:1102 S ROSELLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4081
Practice Address - Country:US
Practice Address - Phone:630-351-8100
Practice Address - Fax:847-301-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-01
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.009311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty