Provider Demographics
NPI:1629311006
Name:DISCOVER HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:DISCOVER HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:SUHAIL
Authorized Official - Last Name:BAQIR
Authorized Official - Suffix:
Authorized Official - Credentials:D/C
Authorized Official - Phone:630-400-4140
Mailing Address - Street 1:534 ROCKHURST RD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-2509
Mailing Address - Country:US
Mailing Address - Phone:630-400-4140
Mailing Address - Fax:
Practice Address - Street 1:534 ROCKHURST RD
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-2509
Practice Address - Country:US
Practice Address - Phone:630-400-4140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038012309111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty