Provider Demographics
NPI:1629106877
Name:ARLINGTON FAMILY CHIROPRACTIC LTD
Entity Type:Organization
Organization Name:ARLINGTON FAMILY CHIROPRACTIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HENDON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-398-3818
Mailing Address - Street 1:1616 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-5254
Mailing Address - Country:US
Mailing Address - Phone:847-398-3818
Mailing Address - Fax:847-398-0138
Practice Address - Street 1:1616 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-5254
Practice Address - Country:US
Practice Address - Phone:847-398-3818
Practice Address - Fax:847-398-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-008354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1622026OtherBLUECROSSBLUESHIELD
IL1622026OtherBLUECROSSBLUESHIELD