Provider Demographics
NPI:1568612505
Name:SLUSHER, ANNISSA METZGER (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:ANNISSA
Middle Name:METZGER
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6104
Mailing Address - Country:US
Mailing Address - Phone:630-792-9311
Mailing Address - Fax:630-792-9316
Practice Address - Street 1:400 E 22ND ST
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6104
Practice Address - Country:US
Practice Address - Phone:630-792-9311
Practice Address - Fax:630-792-9316
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011252111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor