Provider Demographics
NPI:1578785689
Name:ADVANCED CHIROPRACTIC ASSOCIATES
Entity Type:Organization
Organization Name:ADVANCED CHIROPRACTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KUWIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-262-9909
Mailing Address - Street 1:2401 KANEVILLE RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2579
Mailing Address - Country:US
Mailing Address - Phone:630-262-9909
Mailing Address - Fax:630-262-9976
Practice Address - Street 1:2401 KANEVILLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2579
Practice Address - Country:US
Practice Address - Phone:630-262-9909
Practice Address - Fax:630-262-9976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty