Provider Demographics
NPI:1578644993
Name:MCVADY FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MCVADY FAMILY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MCVADY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:708-226-1161
Mailing Address - Street 1:8128 W 143RD ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2310
Mailing Address - Country:US
Mailing Address - Phone:708-226-1161
Mailing Address - Fax:708-226-0258
Practice Address - Street 1:8128 W 143RD ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2310
Practice Address - Country:US
Practice Address - Phone:708-226-1161
Practice Address - Fax:708-226-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty