Provider Demographics
NPI:1619027224
Name:KADELA, CYNTHIA M (DC)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:M
Last Name:KADELA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 N 129TH INFANTRY DR
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8346
Mailing Address - Country:US
Mailing Address - Phone:815-741-3200
Mailing Address - Fax:815-741-8131
Practice Address - Street 1:823 N 129TH INFANTRY DR
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8346
Practice Address - Country:US
Practice Address - Phone:815-741-3200
Practice Address - Fax:815-741-8131
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-004373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350054682OtherRAILROAD MEDICARE
350054682OtherRAILROAD MEDICARE
U19233Medicare UPIN