Provider Demographics
NPI:1568586105
Name:HANA CHIROPRACTIC & ORIENTAL HEALTH CENTER PC
Entity Type:Organization
Organization Name:HANA CHIROPRACTIC & ORIENTAL HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:HEE
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:847-843-1234
Mailing Address - Street 1:32 E GOLF RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-3725
Mailing Address - Country:US
Mailing Address - Phone:847-843-1234
Mailing Address - Fax:847-843-3456
Practice Address - Street 1:32 E GOLF RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-3725
Practice Address - Country:US
Practice Address - Phone:847-843-1234
Practice Address - Fax:847-843-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-009878111N00000X
IL198-000551171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634304OtherBLUE CROSS BLUE SHIELD
IL209294Medicare PIN