Provider Demographics
NPI:1578612784
Name:HAYASHI INTEGRATIVE HEALTH CENTER S.C.
Entity Type:Organization
Organization Name:HAYASHI INTEGRATIVE HEALTH CENTER S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKIHARU
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYASHI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-593-1794
Mailing Address - Street 1:415 E GOLF ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-593-1794
Mailing Address - Fax:847-593-0361
Practice Address - Street 1:415 E GOLF RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4078
Practice Address - Country:US
Practice Address - Phone:847-593-1794
Practice Address - Fax:847-593-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL212774Medicare ID - Type Unspecified
U77550Medicare UPIN