Provider Demographics
NPI:1619239514
Name:REJANO CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:REJANO CHIROPRACTIC LLC
Other - Org Name:DOCTORS' CENTER FOR INTEGRATIVE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:REJANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC, RNC
Authorized Official - Phone:630-960-9355
Mailing Address - Street 1:1045 BURLINGTON AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-1887
Mailing Address - Country:US
Mailing Address - Phone:630-960-9355
Mailing Address - Fax:
Practice Address - Street 1:1045 BURLINGTON AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1887
Practice Address - Country:US
Practice Address - Phone:630-960-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty