Provider Demographics
NPI:1629124847
Name:HEALTH ON EARTH CHIROPRACTIC AND REHABILITATION, LLC
Entity Type:Organization
Organization Name:HEALTH ON EARTH CHIROPRACTIC AND REHABILITATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:ARTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-618-7880
Mailing Address - Street 1:7711 159TH ST
Mailing Address - Street 2:UNIT 102
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-1329
Mailing Address - Country:US
Mailing Address - Phone:630-618-7880
Mailing Address - Fax:
Practice Address - Street 1:7711 159TH ST
Practice Address - Street 2:UNIT 102
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-1329
Practice Address - Country:US
Practice Address - Phone:630-618-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty